Michelle Marie McKenzie, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1187 Issued in SC

Practice address

2010 Browning Gate Road
Estill, SC 29918

Phone

(803) 625-3384

Fax

(803) 625-3579

NPI assigned

Oct 3, 2006

Last updated

Mar 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• David H McKenzie Jr OD Inc

  • Optometrist
  • Estill, SC
  • NPI 1881817526
  NPD (past)
• Dr John Janvier & Associates PC

  dba Coastal Eye Associates

  • Optometrist
  • Bluffton, SC
  • NPI 1750308102
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1821182452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 BROWNING GATE ROAD",
            "address_2": "PO BOX 398",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "29918",
            "telephone_number": "803-625-3384",
            "fax_number": "803-625-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BROWNING GATE ROAD",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "29918",
            "telephone_number": "803-625-3384",
            "fax_number": "803-625-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Howard, PSY.D.
• Lesters Diabetic Shoe Serv
• Elizabeth Warren McAlhaney, MSN
• Sara Ashley McCracken
• David H McKenzie Jr., O.D.
• Datasha Mitchell
• Laveda Yolanda Odom, RPH
• Pruitthealth - Estill, LLC (PruittHealth - Estill)
• John R Pyles, FNP-BC
• Ashlyn E Smith, FNP

• Optometrist in Estill, SC
• Providers in Estill, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.