Active NPI
Kerry R Steck, O.D.
- Optometrist
- Greer, SC
National Provider Identifier
1760449003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 945
- Practice address
- 317 The Pkwy
Greer, SC 29650-4569 - Phone
- (864) 627-0634
- Fax
- (864) 627-1960
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 945 | SC | Primary |
Addresses
Primary practice location
317 The Pkwy
Greer, SC 29650-4569
Mailing address
317 The Pkwy
Greer, SC 29650-4569
Phone (864) 627-0634
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D09453 | Medicaid | SC | |
| 374622412 | Other | SC | BLUE CROSS BLUE SHIELD |
| 4577752 | Other | SC | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 945 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F Mason Smith | Optometrist | Past | Accepting new patients |
| Clemson Eye, PA | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Clemson, SC
- NPI 1790939254
-
- Optometrist
- Mt Pleasant, SC
- NPI 1477795722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1760449003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 THE PKWY",
"city": "GREER",
"state": "SC",
"postal_code": "296504569",
"telephone_number": "864-627-0634",
"fax_number": "864-627-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 THE PKWY",
"city": "GREER",
"state": "SC",
"postal_code": "296504569",
"telephone_number": "864-627-0634",
"fax_number": "864-627-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECK",
"first_name": "KERRY",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D09453",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "374622412",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4577752",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.