Organization Active NPI

Marion M. Kenney, O.D.

  • Optometrist
  • North Charleston, SC
National Provider Identifier
1841461902
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC0760 Issued in SC
Legal business name
MARION M. KENNEY, O.D.
Practice address
7643 Rivers Ave
Suite D
North Charleston, SC 29406-4073
Phone
(843) 797-0737
Fax
(843) 797-7098
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Marion Mance Kenney, O.D.
Title
President
Phone
(843) 797-0737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SC0760 SC Primary

Addresses

Primary practice location

7643 Rivers Ave
Suite D
North Charleston, SC 29406-4073

Mailing address

7643 Rivers Ave
Suite D
North Charleston, SC 29406-4073
Phone (843) 797-0737

Other identifiers 1

IdentifierTypeStateIssuer
DA9952MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1841461902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 RIVERS AVE",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064073",
            "telephone_number": "843-797-0737",
            "fax_number": "843-797-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 RIVERS AVE",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064073",
            "telephone_number": "843-797-0737",
            "fax_number": "843-797-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION M. KENNEY, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "MANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-797-0737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC0760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9952",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.