Individual provider Active NPI

Kelli Marie McCartney, O.D

  • Optometrist
  • Manning, SC
National Provider Identifier
1811201692
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1850 Issued in SC
Practice address
2010 Paxville Hwy
Manning, SC 29102-6434
Phone
(803) 408-5740
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1850 SC Primary

Addresses

Primary practice location

2010 Paxville Hwy
Manning, SC 29102-6434

Mailing address

107 History LN
Summerville, SC 29485-7850
Phone (843) 419-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170801000776 SC Practitioner - Optometry 2264614213 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360Care LLC CurrentSince Feb 3, 2020 Accepting new patients
Lowcountry Pediatric Eyecare LLC Optometrist CurrentSince Sep 11, 2022 Accepting new patients
Summerville Pediatric Eyecare PC Single Specialty Current Accepting new patients
Remote Optometric Services LLC Optometrist CurrentSince Sep 24, 2023 Accepting new patients
360Care LLC Optometrist CurrentSince Feb 3, 2020 Accepting new patients
Mobile Vision of South Carolina, LLC Optometrist CurrentSince Jan 9, 2019 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients
West Virginia Optometric Group Inc Optometrist PastSince Nov 12, 2012 Accepting new patients
Kelli McCartney O.D. PC Optometrist PastSince Apr 30, 2003 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

2010 Paxville Hwy
Manning, SC 29102
Phone (803) 435-4381

89 Old Trolley Rd
Ste 201
Summerville, SC 29485
Phone (843) 419-8600

717 Trolley Rd
Summerville, SC 29485

Organizations & group practices 10

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1811201692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HISTORY LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857850",
            "telephone_number": "843-419-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 PAXVILLE HWY",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291026434",
            "telephone_number": "803-408-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

Verify at the official NPI Registry.