DR. COLLEEN PATRICIA HENNELLY (NPI# 1316159742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316159742 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN PATRICIA HENNELLY |
| Credential | O.D. |
| Practice Address |
7631 Rivers Ave North Charleston SC 29406-4022 |
| Mailing Address |
1600 Long Grove Dr # 1023 Mt Pleasant SC 29464-7402 |
| Practice Telephone | 7733501085 |
| Mailing Telephone | 7733501085 |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1377 | SC | Eye and Vision Services Providers |
| Street Address |
7631 RIVERS AVE |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760910236 | Myeyedr Optometry of South Carolina LLC | Optometrist | 7643 Rivers Ave Ste D, North Charleston, SC 29406-4073 | 2017-05-30 |
| 1679918726 | Neighborly Optical LLC | Optometrist | 7013 Dorchester Rd, Suite D, North Charleston, SC 29418-3407 | 2013-05-02 |
| 1568795110 | Coosaw Eye Center | Optometrist | 8484 Dorchester Rd # B3, North Charleston, SC 29420-7319 | 2009-09-15 |
| 1407066905 | Optical Impressions, A Limited Liability Corporation | Optometrist | 8096 Rivers Ave Ste A, North Charleston, SC 29406-9243 | 2007-05-23 |
| 1194855841 | Dana Wesley Wheeler | Optometrist | 2150 Northwoods Blvd Unit E-2, North Charleston, SC 29406-4043 | 2007-03-06 |
| 1518052083 | Jennifer Maize Lesslie | Optometrist | 1370 Remount Road, Suite B, North Charleston, SC 29406 | 2006-10-03 |
| 1184739740 | Colvin Hunter Odonnell | Optometrist | 2150 Northwoods Blvd, North Charleston, SC 29406-4021 | 2006-08-21 |
| 1578583159 | Adriane E Banks | Optometrist | 4920 Centre Pointe Drive, North Charleston, SC 29418-6927 | 2006-07-19 |
| 1235155292 | Bernard Arnold | Optometrist | 7685 Northwoods Blvd, North Charleston, SC 29406-4002 | 2006-07-14 |
| 1740237478 | Kristi Ann Taormina | Optometrist | 7631 Rivers Ave., North Charleston, SC 29406 | 2006-05-28 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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| 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.