SUMMERVILLE PEDIATRIC EYECARE (NPI# 1225504749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225504749 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE PEDIATRIC EYECARE |
| Practice Address |
133 E 1st North St Summerville SC 29483-6873 |
| Mailing Address |
209 Bellflower Dr Summerville SC 29483-6657 |
| Practice Telephone | 3049824964 |
| Mailing Telephone | 3049824964 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | KELLI MCCARTNEY (OWNER) |
| Authorized Official Telephone | 3049824964 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers |
| Street Address |
133 E 1ST NORTH ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003966961 | David Paul Smith | Family Medicine | 133 E 1st North St, Suite 2 Magnolia Square, Summerville, SC 29483-6873 | 2007-01-11 |
| 1114490976 | Summerville Pediatric Eyecare PC | Optometrist | 133 E 1st North St, Summerville, SC 29483-6873 | 2019-01-04 |
| 1922583277 | Professional Addiction Services LLC | Community/Behavioral Health | 133 E 1st North St, Summerville, SC 29483-6873 | 2018-10-02 |
| 1336448828 | Andrea C Pilch | Occupational Therapist | 133 E 1st North St, Suite 4, Summerville, SC 29483-6873 | 2011-03-23 |
| 1710158985 | Total Wellness LLC | Chiropractor | 133 E 1st North St, Suite 4, Summerville, SC 29483-6873 | 2008-03-17 |
| 1477759934 | William D Price, Md | Eyewear Supplier (Equipment, not the service) | 133 E 1st North St, Summerville, SC 29483-6873 | 2007-06-22 |
| 1376668160 | William D. Price | Ophthalmology | 133 E 1st North St, #3 Magnolia Square, Summerville, SC 29483-6873 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114490976 | Summerville Pediatric Eyecare PC | Optometrist | 133 E 1st North St, Summerville, SC 29483-6873 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235277351 | Steven L Haleo | Optometrist | 3686 Center Circle, Fort Mill, SC 29715 | 2007-02-01 |
| 1205974334 | Vision Therapy Center of Charlotte, LLC | Optometrist | 3686 Center Circle, Fort Mill, SC 29715-9733 | 2007-02-01 |
| City | SUMMERVILLE |
| Zip Code | 29483 |
Please comment or provide details below to improve the information on SUMMERVILLE PEDIATRIC EYECARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.