SUMMERVILLE PEDIATRIC EYECARE
NPI 1225504749
Optometrist - Pediatrics in Summerville, SC
NPI Status: Active since October 23, 2018
Contact Information
133 E 1ST NORTH ST
SUMMERVILLE, SC
ZIP 29483
Phone: (304) 982-4964
- Organization
- Optometrist
- Pediatrics
- CLIA Number: 42D0910753
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 01-17-2026
About SUMMERVILLE PEDIATRIC EYECARE
This page provides the complete NPI Profile along with additional information for Summerville Pediatric Eyecare, a provider established in Summerville, South Carolina operating as a Optometrist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1225504749 assigned on October 2018. The practitioner's primary taxonomy code is 152WP0200X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kelli Mccartney Od (Owner)
- NPI
- 1225504749
- Provider Name
- SUMMERVILLE PEDIATRIC EYECARE
- Entity Type
- Organization
- Location Address
- 133 E 1ST NORTH ST SUMMERVILLE, SC 29483
- Location Phone
- (304) 982-4964
- Mailing Address
- 209 BELLFLOWER DR SUMMERVILLE, SC 29483
- Mailing Phone
- (304) 982-4964
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-23-2018
- Last Update Date
- 10-23-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Pediatrics
- Taxonomy Code
- 152WP0200X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0910753
- Facility Type
- Community Clinic
- Certificate Effective Date
- January 18, 2024
- Certificate Expiration Date
- January 17, 2026
- Laboratory Director
- DANA LAFORTE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Summerville Pediatric Eyecare in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for SUMMERVILLE PEDIATRIC EYECARE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225504749, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
SUMMERVILLE, SC 29483
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225504749, enumerated as an "organization" on October 23, 2018.
The provider is located at 133 E 1ST NORTH ST SUMMERVILLE, SC 29483 and the phone number is (304) 982-4964.
Optometrist with taxonomy code 152WP0200X and a focus in Pediatrics.
