Active NPI
Kelly Finch McCann, O.D.
- Optometrist
- King of Prussia, PA
National Provider Identifier
1770923203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2139
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2139 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Eye Center PLLC | Current | Accepting new patients | |
| University of Penn-Medical Group | Optometrist | Current | Accepting new patients |
| University of Penn-Medical Group | Current | 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.
-
- Ophthalmology Physician
- Myrtle Beach, SC
- NPI 1245693993
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1316335425
Optometrist
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.