Active NPI
Karen McElveen, OD
- Optometrist
- Greenville, SC
National Provider Identifier
1811074230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0770
- Practice address
- 101 Verdae Blvd Ste 160
Verdae Market Fair
Greenville, SC 29607-3836 - Phone
- (864) 676-1123
- Fax
- (864) 675-3835
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 25, 2011
- 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 | 0770 | SC | Primary |
Addresses
Primary practice location
101 Verdae Blvd Ste 160
Verdae Market Fair
Greenville, SC 29607-3836
Mailing address
101 Verdae Blvd Ste 160
Verdae Market Fair
Greenville, SC 29607-3836
Phone (864) 676-1123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9957 | Medicaid | SC | |
| SC0770 | Other | SC | EYEMED |
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 |
|---|---|---|---|
| 0770 | SC | MD | Optometrist |
| 770 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Optometric, Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1811074230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 VERDAE BLVD STE 160",
"address_2": "VERDAE MARKET FAIR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073836",
"telephone_number": "864-676-1123",
"fax_number": "864-675-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 VERDAE BLVD STE 160",
"address_2": "VERDAE MARKET FAIR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073836",
"telephone_number": "864-676-1123",
"fax_number": "864-675-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELVEEN",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "0770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9957",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "SC0770",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.