Keith G Farley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC739 Issued in SC

Practice address

855 Houston Northcutt Blvd
Primary Care Optometry
Mt Pleasant, SC 29464

Phone

(843) 881-2525

Fax

(843) 881-2578

NPI assigned

Dec 19, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Primary Care Optometry

  • Eyewear Supplier
  • Mount Pleasant, SC
  • NPI 1841597408
  Authorized official Same address or phone
• Lowcountry Eye Care of Mt Pleasant, LLC

  dba Lowcountry Eye Care

  • Optometrist
  • Mount Pleasant, SC
  • NPI 1306314562
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477616647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 HOUSTON NORTHCUTT BLVD",
            "address_2": "PRIMARY CARE OPTOMETRY",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-881-2525",
            "fax_number": "843-881-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HOUSTON NORTHCUTT BLVD",
            "address_2": "PRIMARY CARE OPTOMETRY",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-881-2525",
            "fax_number": "843-881-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "KEITH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D00739",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9736",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dental Health Group LLC (Family Dental Health of Park West)
• Family Physical Therapy, Inc.
• Austin Hunter Fann
• Deanna Fanning
• Megan Farina, LCSW
• Elizabeth McCutchen Farlow, MSR SLP
• Donna Tuten Farmer, M.ED., LPC, SCLPC
• Sharon Farrell
• Jeffrey John Farricielli, M.D.
• Julie Hall Faubion, MSR, CCC-SLP

• Optometrist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.