Individual provider Active NPI

Kimberly Ann Carter, OD

  • Optometrist
  • North Charleston, SC
National Provider Identifier
1336826650
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2409 Issued in SC
Practice address
2861 Tricom St
North Charleston, SC 29406-9172
Phone
(843) 797-5511
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2409 SC Primary

Addresses

Primary practice location

2861 Tricom St
North Charleston, SC 29406-9172

Mailing address

2053 Salt Myrtle LN
Fleming Island, FL 32003-7073
Phone (904) 383-2970

Other practice location 1

5500 Front St Ste 120
Summerville, SC 29486-8140
Phone (866) 763-6491

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kcarter@useye.intellechartdirect.net
Direct Messaging Address kcarter@useye.intellechartdirect.net
Direct Messaging Address kcarter@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
I20230717002507 SC Practitioner - Optometry 0749640118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eyecare Physicians LLCGroup PAC ID 9638070436, 27 clinicians

Practice addresses (Care Compare)

2861 Tricom St
N Charleston, SC 29406-9172
Phone (888) 856-1878

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

State licenses

LicenseStateTypeSpecialty
2409SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eyecare Physicians LLC CurrentSince Jul 17, 2023 Accepting new patients
Center for Sight, PL Optometrist Current Accepting new patients
Carolina Eyecare Physicians, LLC PastSince Jul 17, 2023 Accepting new patients

Locations

2060 Charlie Hall Blvd
Ste 201
Charleston, SC 29414
Phone (843) 571-7337

730 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 572-9211

805 Long Point Rd
Mt Pleasant, SC 29464
Phone (843) 971-6300

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

5500 Front St
Ste 120
Summerville, SC 29486
Phone (866) 763-6491

459 Spruce St
Walterboro, SC 29488
Phone (843) 549-9500

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1336826650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 SALT MYRTLE LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037073",
            "telephone_number": "904-383-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-797-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Front St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294868140",
            "country_code": "US",
            "telephone_number": "866-763-6491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcarter@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2861 Tricom St",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcarter@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "5500 Front St Ste 120",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294868140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcarter@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "459 Spruce St",
            "city": "Walterboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294882766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.