Kathleen Purcell-Cannon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

982 Issued in SC

Practice address

7323 College St
Irmo, SC 29063-2902

Phone

(803) 750-6600

Fax

(803) 750-6601

NPI assigned

Jan 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Eyecare IncGroup PAC ID 1456349448, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• DRS Eyecare Inc

  • Optometrist
  • Irmo, SC
  • NPI 1316919665
  Medicare reassignment Care Compare group NPD
• DRS Eyecare, Inc.

  • Optometrist
  • Columbia, SC
  • NPI 1043427776
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1316927221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 COLLEGE ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632902",
            "telephone_number": "803-750-6600",
            "fax_number": "803-750-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 COLLEGE ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632902",
            "telephone_number": "803-750-6600",
            "fax_number": "803-750-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL-CANNON",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D09823",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Orthopaedic Group, LLC (Moore Orthopaedic Clinic, P.A.)
• Providence Orthopedic Group, LLC (Moore Center for Orthopedics)
• Providence Physician Practices LLC (Three Rivers Medical Associates)
• Pruitthealth Therapy Services, Inc.
• Publix Super Markets Inc (Publix Pharmacy #0017)
• Shaienna Quinn, LMSW, LCSW-A
• William R Quirk, CSW
• Raman Orthodontics, LLC (Irmo Smiles Pediatric Dentistry & Orthodontics)
• Margaret H Rast, RN
• Sherry Benenhaley Rauch, DDS

• Optometrist in Irmo, SC
• Providers in Irmo, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.