Individual provider Active NPI

Karen L King, OD

  • Optometrist
  • Goose Creek, SC
National Provider Identifier
1760405955
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1296 Issued in SC
Practice address
216 Saint James Ave Ste F
Goose Creek, SC 29445-3085
Phone
(843) 718-2020
Fax
(843) 718-1283
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1296 SC Primary

Addresses

Primary practice location

216 Saint James Ave Ste F
Goose Creek, SC 29445-3085

Mailing address

109 Haleswood Cir
Goose Creek, SC 29445-7081
Phone (843) 764-1770

Other identifiers 1

IdentifierTypeStateIssuer
D12966MedicaidSC

Other names 1

  • Karen Barber Former name

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
I20110428000641 SC Practitioner - Optometry 7517142904 Practice locations: Goose Creek, SC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 F St James Ave
Goose Creek, SC 29445
Phone (843) 718-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1760405955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HALESWOOD CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457081",
            "telephone_number": "843-764-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SAINT JAMES AVE STE F",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453085",
            "telephone_number": "843-718-2020",
            "fax_number": "843-718-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12966",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BARBER",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.