Individual provider Active NPI

Kimberly Marie Hunt, O.D.

  • Optometrist
  • Manning, SC
National Provider Identifier
1851763726
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1904 Issued in SC
Practice address
1774 Paxville Hwy
Manning, SC 29102-5071
Phone
(803) 435-2494
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1904 SC Primary

Addresses

Primary practice location

1774 Paxville Hwy
Manning, SC 29102-5071

Mailing address

7800 Rivers Ave
North Charleston, SC 29406-4057
Phone (843) 572-3404

Other practice location 1

7800 Rivers Ave
North Charleston, SC 29406-4057
Phone (843) 572-3404

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
I20171027001403 SC Practitioner - Optometry 6507132065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. David W. Bang, P.C.Group PAC ID 2567525520, 2 clinicians

Practice addresses (Care Compare)

9565 Hwy 78
Suite 900
Ladson, SC 29456-3912
Phone (843) 764-3030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David W. Bang, P.C. Optometrist CurrentSince Feb 9, 2023 Accepting new patients
Dr. David W. Bang, P.C. Optometrist CurrentSince Feb 9, 2023 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

9565 Highway 78
Bldg 900
Ladson, SC 29456
Phone (843) 764-3030

Organizations & group practices 3

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": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851763726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064057",
            "telephone_number": "843-572-3404",
            "fax_number": "843-572-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 PAXVILLE HWY",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291025071",
            "telephone_number": "803-435-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 Rivers Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294064057",
            "country_code": "US",
            "telephone_number": "843-572-3404",
            "fax_number": "843-572-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

Verify at the official NPI Registry.