Catherine Emily Kister, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1417 Issued in SC

Practice address

652 Coleman Blvd.
Suite 104
Mt. Pleasant, SC 29464

Phone

(843) 849-2717

Fax

(843) 849-2718

NPI assigned

Jul 20, 2006

Last updated

Aug 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Custom Eyes Vision Care Inc

  • Optometrist
  • North Charleston, SC
  • NPI 1649321647
  Medicare reassignment NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1750301933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 COLEMAN BLVD",
            "address_2": "SUITE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644061",
            "telephone_number": "843-849-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 COLEMAN BLVD.",
            "address_2": "SUITE 104",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-849-2717",
            "fax_number": "843-849-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTER",
        "first_name": "CATHERINE",
        "middle_name": "EMILY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Underwood King
• Kintsugi Behavioral Health LLC (Kintsugi Behavioral Health)
• Leslie Elizabeth Kirk, O.D.
• Ashton Medlin Kirkpatrick, DPT
• Foster Sue Kirkpatrick
• Robyn Michele Kitchell
• Marsha F. Kite, MS, CAI
• Leah Kittle, RDN
• Jonathan Kittredge, M.D.
• Richard Mahlon Kline Jr., M.D.

• 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 Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.