Individual provider Active NPI

Kierra Washington, OD

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1730856691
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2296 Issued in SC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2296SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
America's Best Contacts & Eyeglasses CurrentSince Jun 23, 2025 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.

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.

Verify at the official NPI Registry.