Active NPI
Kierra Washington, OD
- Optometrist
- Rock Hill, SC
National Provider Identifier
1730856691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2296
- Practice address
- 2391 Dave Lyle Blvd Unit 106
Rock Hill, SC 29730-8238 - Phone
- (803) 329-6464
- NPI assigned
- Aug 26, 2021
- Last updated
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2296 | SC | Primary |
Addresses
Primary practice location
2391 Dave Lyle Blvd Unit 106
Rock Hill, SC 29730-8238
Mailing address
4205 Kellybrook Dr
Concord, NC 28025-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2296 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Best Contacts & Eyeglasses | Current | Accepting new patients |
Locations
2391 Dave Lyle Blvd
Unit 106
Rock Hill, SC 29730
Phone (803) 329-6464
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Rock Hill, SC
- NPI 1235161001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1730856691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 KELLYBROOK DR",
"city": "CONCORD",
"state": "NC",
"postal_code": "280257100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2391 DAVE LYLE BLVD UNIT 106",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297308238",
"telephone_number": "803-329-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "KIERRA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.