SUMMERVILLE PRIMARY EYECARE LLC (NPI# 1396276630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396276630 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE PRIMARY EYECARE LLC |
| Other Organization Name | SUMMERVILLE PRIMARY EYECARE |
| Practice Address |
450 Azalea Square Blvd Summerville SC 29483-7321 |
| Mailing Address |
209 Bellflower Dr Summerville SC 29483-6657 |
| Practice Telephone | 8434863572 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | DR. KELLI MCCARTNEY (LLC MEMBER) |
| Authorized Official Telephone | 3049824964 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1850 | SC | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Summerville Primary Eyecare | Doing Business As Name - Organization |
| Street Address |
450 AZALEA SQUARE BLVD |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-7321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245252998 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 450 Azalea Square Blvd, Summerville, SC 29483-7321 | 2006-07-24 |
| 1710415823 | Garrett Pennell | Optometrist | 450 Azalea Square Blvd, Summerville, SC 29483-7321 | 2017-06-02 |
| 1487198347 | Ideal-eyes Eye Care LLC | Optometrist | 450 Azalea Square Blvd, Summerville, SC 29483-7321 | 2016-12-12 |
| 1932656543 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 450 Azalea Square Blvd, Summerville, SC 29483-7321 | 2016-09-01 |
| 1942692918 | Stephanie Kurtz | Pharmacist | 450 Azalea Square Blvd, Summerville, SC 29483-7321 | 2015-02-26 |
| 1255624714 | Kristina Colizzi Windom | Pharmacist | 450 Azalea Square Blvd, Summerville, SC 29483-7321 | 2011-05-17 |
| 1801189410 | Lauren Barnett Thomas | Pharmacist | 450 Azalea Square Blvd, Summerville, SC 29483-7321 | 2011-05-16 |
| 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 | 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 |
|---|---|---|---|---|
| 1720696792 | National Vision Inc | Optometrist | 1317 N Main St Ste A3, Summerville, SC 29483-7342 | 2020-07-16 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1265958524 | James Harrison Kyte | Optometrist | 717 Old Trolley Rd Ste 4, Summerville, SC 29485-5287 | 2017-08-18 |
| 1700319282 | Lowcountry Eye Care of Cane Bay, LLC | Optometrist | 1718 State Rd # 176, Suite 3 (8d), Summerville, SC 29486-2801 | 2017-04-11 |
| 1457758088 | James F. Deavers, Od, Pa | Optometrist | 11317 North Main Street, Summerville, SC 29483 | 2014-11-25 |
| 1144646753 | Special Care Vision of Sc, LLC | Optometrist | 717 Trolley Road, Summerville, SC 29485 | 2014-03-07 |
| 1841584364 | Monarch Eye Care LLC | Optometrist | 221 Forsythia Ave, Summerville, SC 29483-5368 | 2011-06-01 |
| 1275867061 | Catherine E. Kister, O.d. LLC | Optometrist | 1112 N Main St Ste E, Summerville, SC 29483-7315 | 2009-09-25 |
| 1700073749 | Ocean Eye, PC | Optometrist | 717 Old Trolley Rd Ste 3, Summerville, SC 29485-5287 | 2007-10-03 |
| 1013116037 | William Justin Dungan | Optometrist | 717 Trolley Rd Ste 3, Summerville, SC 29485-5287 | 2007-07-11 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.