Individual provider Active NPI

Kelly Finch McCann, O.D.

  • Optometrist
  • King of Prussia, PA
National Provider Identifier
1770923203
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2139 Issued in SC
Practice address
216 Mall Blvd, Suite 100
Lasikplus
King of Prussia, PA 19406
Phone
(610) 265-5228
Fax
(610) 265-1560
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2139 SC Primary

Addresses

Primary practice location

216 Mall Blvd, Suite 100
Lasikplus
King of Prussia, PA 19406

Mailing address

900 Medical Cir
Myrtle Beach, SC 29572-4114
Phone (843) 449-6414

Other names 1

  • Kelly Lee Finch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160215001689 PA Practitioner - Optometry 3971729195 Reassigns benefits to 1 organization
I20191003001629 SC Practitioner - Optometry 3971729195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin Eye Center PLLCGroup PAC ID 1759680689, 3 clinicians

Practice addresses (Care Compare)

900 Medical Cir
Myrtle Beach, SC 29572-4114
Phone (843) 449-6414

Merit-based Incentive Payment System (MIPS)

Final score
92.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2139SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Eye Center PLLC CurrentSince Aug 15, 2019 Accepting new patients
University of Penn-Medical Group Optometrist CurrentSince Jan 4, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 4, 2016 Accepting new patients
University of Penn-Medical Group Current Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

900 Medical Cir
Myrtle Beach, SC 29572
Phone (800) 786-0626

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1770923203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MEDICAL CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724114",
            "telephone_number": "843-449-6414",
            "fax_number": "843-497-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MALL BLVD, SUITE 100",
            "address_2": "LASIKPLUS",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-265-5228",
            "fax_number": "610-265-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "KELLY",
        "middle_name": "FINCH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FINCH",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.