Perkins Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

50-1392 Issued in SC

Legal business name

PERKINS EYECARE LLC

Practice address

511 N Highway 52
Moncks Corner, SC 29461-3132

Phone

(843) 482-0028

Fax

(843) 899-5875

NPI assigned

Dec 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kelley Iric Perkins, ODNPI 1588760995

Title

Owner

Phone

(843) 482-0028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley I Perkins, OD

  • Optometrist
  • Moncks Corner, SC
  • NPI 1588760995
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1790848455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1588",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294611588",
            "telephone_number": "843-482-0028",
            "fax_number": "843-899-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613132",
            "telephone_number": "843-482-0028",
            "fax_number": "843-899-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "IRIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-482-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "50-1392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Patterson
• Jeffrey S. Payne, MA
• Zachary Parker Payne, DDS
• Mary Elizabeth Perdue
• Carolyn F Perez
• Kelley I Perkins, OD
• Lauren Michele Perry
• Katherine M. Peterson-Crain, LPN
• Amanda Nicole Petrin, DMD
• Lindsey Pezzo, PT

• Optometrist in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.