DR. KEITH G FARLEY (NPI# 1477616647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477616647 |
| Entity Type | Individual |
| Full Name | DR. KEITH G FARLEY |
| Credential | OD |
| Practice Address |
855 Houston Northcutt Blvd Primary Care Optometry Mt Pleasant SC 29464 |
| Practice Telephone | 8438812525 |
| Practice Fax Number | 8438812578 |
| Mailing Telephone | 8438812525 |
| Mailing Fax Number | 8438812578 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | SC739 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D00739 | 05 | |
| SC | DA9736 | 05 |
| Street Address |
855 HOUSTON NORTHCUTT BLVD PRIMARY CARE OPTOMETRY |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841597408 | Primary Care Optometry | Eyewear Supplier (Equipment, not the service) | 855 Houston Northcutt Blvd, Mt Pleasant, SC 29464-3446 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| 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 |
|---|---|---|---|---|
| 1699314815 | American Eyecare PC | Optometrist | 1802 E Washington St Ste 101, Mt Pleasant, IA 52641-3217 | 2020-01-06 |
| 1831516541 | Sweetgrass Eyecare of Mount Pleasant | Optometrist | 3070 Highway 17 Byp N, Suite 201, Mt Pleasant, SC 29466-9300 | 2014-03-20 |
| 1922257864 | John D Boldan Jr. | Optometrist | 1606 S Jefferson Ave, Mt Pleasant, TX 75455-5614 | 2008-09-16 |
| 1588839898 | Drs Lawler & Lawler Pa | Optometrist | 202 S Van Buren, Mt Pleasant, TX 75455 | 2008-04-28 |
| 1962556191 | Davis Eye Group, Inc. | Optometrist | 741 North Church St, Mt Pleasant, PA 15666 | 2007-01-23 |
| 1861559619 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 2865 S Lincoln Rd, Mt Pleasant, MI 48858-9085 | 2007-01-02 |
| 1205991338 | Tad J Bartz | Optometrist | 500 S Mission St, Mt Pleasant, MI 48858-2847 | 2006-12-27 |
| 1457411977 | James Bradley Majors | Optometrist | 709 C Long Point Rd, Mt Pleasant, SC 29464-8287 | 2006-12-12 |
| 1376604546 | 3 D Optometry PC | Optometrist | 1031 Highway 41 Ste 400, Mt Pleasant, SC 29466-9320 | 2006-12-12 |
| 1992864037 | Christopher P Olson | Optometrist | 301 W Monroe St, Mt Pleasant, IA 52641-2112 | 2006-12-06 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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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.