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DR. KACIE A BREAULT OD
NPI 1720100415
Optometrist in Indian Land, SC

Active since April 04, 2007PECOS Enrolled
2077 PARKWAY DR STE 102, INDIAN LAND, SC 29707(839) 293-0292(839) 293-0293 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Jun 27, 2025 (2 updates tracked since 2025).

About Dr. Kacie A Breault Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KACIE A BREAULT OD (NPI 1720100415) is an individual optometrist in Indian Land, South Carolina, licensed in South Carolina (2382) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2005).

NPPES Registry Identity

NPI1720100415
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KACIE A BREAULTCredential: OD
Location Address2077 PARKWAY DR STE 102Indian Land, SC 29707-8088
Mailing Address2077 Parkway Dr Ste 102Indian Land, SC 29707-8088 · Fax (839) 293-0293
Phone(839) 293-0292
Fax(839) 293-0293
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2005
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1720100415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in SC · 2382✔ Licensed in FL · OPC 4002
Definition
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.
2077 PARKWAY DR STE 102, Indian Land, SC 29707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kacie A Breault Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991295958
PECOS Enrollment IDI20251107000725
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYEMART EXPRESS LLC
Eyewear Supplier
2077 PARKWAY DR STE 102
INDIAN LAND, SC 29707
Lancaster County (839) 293-0290
OLIVIA KATHRYN PYLES
Student in an Organized Health Care Education/Training Program
2077 PARKWAY DR STE 102
INDIAN LAND, SC 29707
Lancaster County (704) 737-9887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kacie Breault's NPI number?

The NPI number for Kacie Breault is 1720100415. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Kacie Breault located?

Kacie Breault practices at 2077 Parkway Dr Ste 102, Indian Land, SC 29707. The listed phone number is (839) 293-0292.

What is Kacie Breault's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kacie Breault enrolled in Medicare?

Yes. Kacie Breault is registered in the Medicare PECOS enrollment system.

What insurance does Kacie Breault accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kacie Breault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kacie Breault was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.