Individual provider Active NPI

Kerry D Solomon, MD

  • Ophthalmology Physician
  • Mt Pleasant, SC
National Provider Identifier
1881608024
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16490 Issued in SC
Practice address
1101 Clarity Rd Ste 100
Mt Pleasant, SC 29464-3138
Phone
(843) 881-3937
Fax
(843) 375-1487
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16490 SC Primary

Addresses

Primary practice location

1101 Clarity Rd Ste 100
Mt Pleasant, SC 29464-3138

Mailing address

2861 Tricom St
North Charleston, SC 29406-9172
Phone (843) 725-0064

Other practice location 1

2861 Tricom St
N Charleston, SC 29406-9172
Phone (843) 881-3937

Other identifiers 2

IdentifierTypeStateIssuer
180016242OtherSCRAILROAD MEDICARE
164903MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksolomon@useye.intellechartdirect.net

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000317 SC Practitioner - Ophthalmology 7315944121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Vermont College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eyecare Physicians LLCGroup PAC ID 9638070436, 27 clinicians

Practice addresses (Care Compare)

1101 Clarity Rd
Mt Pleasant, SC 29464-3138
Phone (888) 856-1878

Merit-based Incentive Payment System (MIPS)

Final score
90.66 of 100Reported as group
Quality
96.55
Promoting interoperability
96
Improvement activities
40
Cost
75.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16490SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eyecare Physicians LLC Ophthalmology CurrentSince Dec 1, 2009 Accepting new patients
Carolina Eyecare Physicians, LLC Ophthalmology PastSince Dec 1, 2009 Accepting new patients

Locations

2060 Charlie Hall Blvd
Ste 201
Charleston, SC 29414
Phone (843) 571-7337

1101 Clarity Rd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 881-3937

1101 Clarity Rd
Mt Pleasant, SC 29464
Phone (843) 648-2037

2861 Tricom St
North Charleston, SC 29406
Phone (843) 725-0064

459 Spruce St
Walterboro, SC 29488
Phone (843) 549-9500

Interoperability endpoints

  • Direct secure messaging: ksolomon@useye.intellechartdirect.net

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1881608024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069172",
            "telephone_number": "843-725-0064",
            "fax_number": "843-569-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CLARITY RD STE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643138",
            "telephone_number": "843-881-3937",
            "fax_number": "843-375-1487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2861 Tricom St",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069172",
            "country_code": "US",
            "telephone_number": "843-881-3937",
            "fax_number": "843-375-1487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "KERRY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "16490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180016242",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164903",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksolomon@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1101 Clarity Rd Ste 100",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294643138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.