Individual provider Active NPI

Kalyn Elizabeth Schaefer, OD

  • Optometrist
  • Mount Pleasant, SC
National Provider Identifier
1316510704
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2292 Issued in SC
Practice address
805 Long Point Rd
Mt Pleasant, SC 29464-8374
Phone
(843) 971-6300
Fax
(843) 971-6301
NPI assigned
Jul 22, 2021
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2292 SC Primary

Addresses

Primary practice location

805 Long Point Rd
Mt Pleasant, SC 29464-8374

Mailing address

2861 Tricom St
North Charleston, SC 29406-9172
Phone (843) 725-0064

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kshaefer@useye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909002875 SC Practitioner - Optometry 1052717410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.66 of 100Reported as group
Quality
96.55
Promoting interoperability
96
Improvement activities
40
Cost
75.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bergelt Optometric LLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Carolina Eyecare Physicians, LLC Past Accepting new patients

Locations

265 Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 489-3213

2672 David H McLeod Blvd
Florence, SC 29501
Phone (843) 773-2758

9880 Dorchester Rd
Summerville, SC 29485
Phone (843) 851-0280

2110 Bells Hwy
Walterboro, SC 29488
Phone (843) 539-1555

Interoperability endpoints

  • Direct secure messaging: kshaefer@useye.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1316510704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-725-0064",
            "fax_number": "843-569-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LONG POINT RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648374",
            "telephone_number": "843-971-6300",
            "fax_number": "843-971-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "KALYN",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshaefer@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "805 Long Point Rd",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294648374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.