KD OPTICAL NPI 1548510464

NPI Information

  • NPI: 1548510464
  • Provider Name: KD OPTICAL
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Address: 447 RAILROAD AVE
    RIDGEVILLE, SC
    ZIP 29472
  • Phone: (843) 821-9150

Map and Directions

Get Directions

NPI Details

KD OPTICAL is an optician technician technologist in Ridgeville, SC. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. KD OPTICAL NPI is 1548510464. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

447 RAILROAD AVE
RIDGEVILLE, SC
ZIP 29472
Phone: (843) 821-9150

The provider's authorized official is Kimberly D Moore .
The authorized official title is Owner/ Licensed Optician and has the following contact phone number (843) 821-9150.

The enumeration date for this NPI number is 9/18/2012 and was last updated on 9/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist1718No
2156FX1800XTechnician/TechnologistOptician717Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DV7172MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI