Individual provider Active NPI

Karyssa Huynh Davis, O.D.

  • Optometrist
  • Charleston, SC
National Provider Identifier
1710662440
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2410 Issued in SC
Practice address
3050 Ashley Town Center Dr
Charleston, SC 29414-5664
Phone
(843) 460-2013
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 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 2410 SC Primary

Addresses

Primary practice location

3050 Ashley Town Center Dr
Charleston, SC 29414-5664

Mailing address

52 Circlewood Dr
Hilton Head Island, SC 29926-4742
Phone (843) 640-1383

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
I20231004002640 SC Practitioner - Optometry 8527413939 Reassigns benefits to 2 organizations

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
The Vision Center at Seaside FarmsGroup PAC ID 2163576927, 3 clinicians

Practice addresses (Care Compare)

1296 Long Grove Dr
Mount Pleasant, SC 29464-9462
Phone (843) 388-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Vision Center at Seaside Farms Optometrist CurrentSince Jul 19, 2025 Accepting new patients
Comprehensive Eyecare at West Ashley LLC Optometrist CurrentSince Jun 26, 2023 Accepting new patients

Locations

3050 Ashley Town Center Dr
Charleston, SC 29414
Phone (843) 460-2001

1296 Long Grove Dr
Mt Pleasant, SC 29464
Phone (843) 388-6200

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1710662440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CIRCLEWOOD DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264742",
            "telephone_number": "843-640-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ASHLEY TOWN CENTER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145664",
            "telephone_number": "843-460-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KARYSSA",
        "middle_name": "HUYNH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.