Amy Louise Kayekjian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2336 Issued in SC

Practice address

223 Columbia Ave Ste B
Chapin, SC 29036-8322

Phone

(803) 930-0036

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Eyes LLCGroup PAC ID 8729427398, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vital Eyes LLC

  • Optometrist
  • Chapin, SC
  • NPI 1528848405
  Medicare reassignment Care Compare group NPD
• Booth Optometry Group

  • Optometrist
  • Tustin, CA
  • NPI 1861788218
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1992912935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496",
            "city": "BALLENTINE",
            "state": "SC",
            "postal_code": "290020496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 COLUMBIA AVE STE B",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368322",
            "telephone_number": "803-930-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Irvine Blvd",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803529",
            "country_code": "US",
            "telephone_number": "714-838-3210",
            "fax_number": "714-838-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYEKJIAN",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11505TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Steven Jacobus, RT(ARRT)
• Angela Slice Jones, MSP, CCC-SLP,BCBA
• Brittany Nicole Jones, FNP-C
• Amy White Joyner, FNP
• Jumpstart Pediatrics LLC
• Janis E Keeton, MD
• Pleshette Johnson Kelly, MA
• Claire King, LPC
• Robert C Kirby, LISW
• Shawn Kiser

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.