Julianne Stuck Kleckley, OD
Individual provider Active NPI Optometrist · Cayce, SC
NPI 1881689263 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1881689263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 751 (SC)
- Practice address
- 600 Knox Abbott Dr
Cayce, SC 29033-4127 - Phone
- (803) 794-4444
- Fax
- (803) 794-2085
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Associates of Lexington, Inc.
Practice addresses (Care Compare)
314 Columbia Ave
Lexington, SC 29072-2657
Phone (803) 359-2294
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100730000149 | SC | Practitioner - Optometry | 9234262015 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT001033 | GA | MD | Optometrist |
| 2896 | MN | MD | Optometrist |
| 751 | SC | MD | Optometrist |
| 754 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Cayce - West Columbia | Optometrist | Current | Accepting new patients |
| Eye Associates of Lexington, Inc. | Optometrist | Current |
Accepting new patients |
| Eye Associates of Cayce West Columbia | Optometrist | Current |
Accepting new patients |
| Caryn M West & Assoc PC | Optometrist | Past |
Accepting new patients |
Locations
606 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 794-4444
314 Columbia Ave
Lexington, SC 29072
Phone (803) 359-2294
600 Knox Abbott Dr
West Columbia, SC 29033
Phone (803) 755-0213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 751 | SC | Yes |
| Optometrist | 152W00000X | 2896 | MN | |
| Optometrist | 152W00000X | OPT001033 | GA |
Addresses
Primary practice location
600 Knox Abbott Dr
Cayce, SC 29033-4127
Mailing address
600 Knox Abbott Dr
Cayce, SC 29033-4127
Phone (803) 794-4444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D07516 | Medicaid | SC |
NPI Registry JSON
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881689263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 KNOX ABBOTT DR",
"city": "CAYCE",
"state": "SC",
"postal_code": "290334127",
"telephone_number": "803-794-4444",
"fax_number": "803-794-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 KNOX ABBOTT DR",
"city": "CAYCE",
"state": "SC",
"postal_code": "290334127",
"telephone_number": "803-794-4444",
"fax_number": "803-794-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLECKLEY",
"first_name": "JULIANNE",
"middle_name": "STUCK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "751",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2896",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001033",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D07516",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cayce, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.