Individual provider Active NPI

Karen McElveen, OD

  • Optometrist
  • Greenville, SC
National Provider Identifier
1811074230
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0770 Issued in SC
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DA9957MedicaidSC
SC0770OtherSCEYEMED

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

LicenseStateTypeSpecialty
0770SCMDOptometrist
770SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.