Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kevin Paul Elliott, LDOVCM

Individual provider Optician · NPI 1356071070

Mr. Kevin Paul Elliott, LDOVCM is an Optician in Lake Wylie, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022

Practice location Address checks out

175 Highway 274
Lake Wylie, SC 29710-6045
Phone: (803) 619-7025
Fax: (803) 831-5049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence SC464 (SC)

Record details

NPI number1356071070
Entity typeIndividual (Type 1)
GenderMale
Credentials LDOVCM
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

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