DR. KELLY RICHMOND REVY (NPI# 1790952711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790952711 |
| Entity Type | Individual |
| Full Name | DR. KELLY RICHMOND REVY |
| Credential | OD |
| Practice Address |
746 Pulaski St Goose Creek SC 29445-6143 |
| Practice Telephone | 8435772011 |
| Mailing Telephone | 8435775011 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5742 | OH | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4100 W 3rd St, Eye Clinic 112-e, Dayton, OH 454289000 | 9372686511 |
| Street Address |
746 PULASKI ST |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-6143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| 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 |
|---|---|---|---|---|
| 1336440668 | Lowcountry Eye Care of Goose Creek | Optometrist | 425 Red Bank Rd, Goose Creek, SC 29445-4505 | 2010-11-03 |
| 1760405955 | Karen L King | Optometrist | 216 Saint James Ave Ste F, Goose Creek, SC 29445-3085 | 2006-07-26 |
| 1629026570 | Diane Juras | Optometrist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2006-05-04 |
| 1114908092 | Goose Creek Vision Center, Inc. | Optometrist | 425 Redbank Rd, Goose Creek, SC 29445-4505 | 2005-11-08 |
| 1497284517 | Erica Ryan Juras | Optometrist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2017-06-12 |
| 1124431739 | Kathryn Gahagan | Optometrist | 425 Red Bank Rd, Goose Creek, SC 29445-4505 | 2014-06-11 |
| 1689777849 | Coastal Vision Care LLC | Optometrist | 605 Saint James Ave, Goose Creek, SC 29445 | 2006-09-06 |
| 1801877782 | Melvin Bernard Watsky | Optometrist | 425 Redbank Rd, Goose Creek, SC 29445-4505 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515014 | Michael Richard Campbell | Optometrist | 10 Hospital Center Cmns Ste 100, Hilton Head Island, SC 29926-2838 | 2020-10-12 |
| 1760080824 | Jason Thomason | Optometrist | 113 Foxbank Plantation Blvd # C, Moncks Corner, SC 29461-6707 | 2020-10-12 |
| 1720696792 | National Vision Inc | Optometrist | 1317 N Main St Ste A3, Summerville, SC 29483-7342 | 2020-07-16 |
| 1871101857 | National Vision Inc | Optometrist | 1050 Fording Island Rd Ste G, Bluffton, SC 29910-8667 | 2020-07-16 |
| 1770104549 | Erica Jill Bobb | Optometrist | 3029 Oliver Stanley Trl, Lancaster, SC 29720-0286 | 2020-05-02 |
| 1346860491 | Hannah C. Williams | Optometrist | 2008 Concord Dr, Camden, SC 29020-9516 | 2020-04-19 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1831724756 | Jax & Rae Optometric | Optometrist | 970 Liberty St E, York, SC 29745-1662 | 2020-03-11 |
| 1083248785 | National Vision Inc | Optometrist | 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407-4681 | 2020-03-03 |
| 1972135754 | Healthy Eyes Vision Group LLC | Optometrist | 1518 Pickens St, Columbia, SC 29201-3449 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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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.