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COASTAL VISION CENTER , NPI 1962404111

Optometrist in SURFSIDE BEACH, SC

Last Updated on : Jan 02,2008

About COASTAL VISION CENTER (NPI 1962404111)


COASTAL VISION CENTER is an Optometrist in SURFSIDE BEACH, United States

1962404111 is NPI number of COASTAL VISION CENTER.

COASTAL VISION CENTER's primary taxonomy code based on NPI Lookup is 152W00000X with license number 694. This taxonomy code refers to Optometrist.

COASTAL VISION CENTER current practice location address is PO BOX 15790, SURFSIDE BEACH, SC. COASTAL VISION CENTER can be reached out via phone at 843-650-2400 and via fax at 843-650-2525 .

You can also correspond with COASTAL VISION CENTER through mail at mailing address 1651 GLENNS BAY RD, SURFSIDE BEACH, SC, United States. Mailing address contact number is 843-650-2400.

The enumeration date of COASTAL VISION CENTER is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 14 years ago.

The authorized official of COASTAL VISION CENTER is Melinda Poston (Treas). Melinda Poston can be reached at 8436502400.

1962404111 NPI Information

Name COASTAL VISION CENTER
National Provider Id (NPI) 1962404111
Entity Type Organization
Practice Address PO BOX 15790,
SURFSIDE BEACH, SC, United States
Practice Telephone 843-650-2400
Practice Fax Number 843-650-2525
Mailing Address 1651 GLENNS BAY RD ,
SURFSIDE BEACH, SC, United States
Mailing Telephone 843-650-2400
Mailing Fax Number 843-650-2525
Enumeration Date 01-Jun-2005
Last Updated Date 02-Jan-2008

COASTAL VISION CENTER (NPI 1962404111) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 152W00000X Optometrist 694 SC

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
DA9945 MEDICAID (05) SC
DE4961 Other (non-Medicare) (01) SC RR Medicare
0334680001 MEDICARE NSC (07)
2842 MEDICARE PIN (08) SC

COASTAL VISION CENTER (NPI 1962404111) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1982092714 MICHAEL BRUCE FREDERICKSON Pharmacist 916 N POPLAR DR,
SURFSIDE BEACH, SC, United States
01-Jan-2015
1063569309 JOSHUA POND Chiropractor PO BOX 346,
MURRELLS INLET, SC, United States
05-Jan-2007
1962687160 MARJORY BERNARD WELLS Advanced Practice Midwife PO BOX 14370,
SURFSIDE BEACH, SC, United States
07-Jan-2008
1528038437 LOW COUNTRY MEDICAL EQUIPMENT Durable Medical Equipment & Medical Supplies 780 A HWY 17 S,
SURFSIDE BEACH, SC, United States
24-Jan-2006
1033861075 JESSICA KIMBERLYN PRITCHETT Physical Medicine & Rehabilitation 611 13TH AVE N,
SURFSIDE BEACH, SC, United States
20-Jan-2022
1942953161 CLARE BOYLE ROSENSTEEL Registered Nurse, Community Health 1012 PLANTATION DR,
SURFSIDE BEACH, SC, United States
28-Jan-2022
1144688250 LINDSEY THOMAS BUDHOO Nurse Practitioner, Family 1413 HIGHWAY 17 N,
SURFSIDE BEACH, SC, United States
03-Feb-2016
1245479641 EDWARD SCOTT THOMAS Chiropractor 400 HIGHWAY 17 N, SUITE A
SURFSIDE BEACH, SC, United States
10-Feb-2009
1689206328 ELIZABETH AUBREY ORLANDO Hearing Instrument Specialist 640 6TH AVE S,
NORTH MYRTLE BEACH, SC, United States
11-Feb-2020
1861731788 LESLEY RENEE CANNON-HUTCHENS Massage Therapist 505 MALLARD LAKE CIR,
SURFSIDE BEACH, SC, United States
13-Feb-2013
1275830689 DIANE W. SALISBURY Pharmacist 20 PALMAS DR,
SURFSIDE BEACH, SC, United States
21-Feb-2011
1750820973 MELISSA MARIE JOHANSEN Social Worker 2035 GLENNS BAY RD,
SURFSIDE BEACH, SC, United States
21-Feb-2017
1508831371 JERRY DAVID SHEPHERD Dentist, General Practice 1663 GLENNS BAY RD,
SURFSIDE BEACH, SC, United States
22-Feb-2006
1467428938 STEVEN MARC CREMER Family Medicine P.O. BOX 14340,
SURFSIDE BEACH, SC, United States
24-Feb-2006
1801921101 DANIEL A OEHLER Physician Assistant 80 SUMMERLIGHT DR,
MURRELLS INLET, SC, United States
23-Feb-2007
1568438448 HELENE GERRALD Emergency Medicine 4615 OLEANDER DR,
MYRTLE BEACH, SC, United States
28-Feb-2006
1235451535 DEBORAH ANN WARDELL Behavior Analyst 1860 AUBURN LN APT 19C,
SURFSIDE BEACH, SC, United States
28-Feb-2010
1245368067 CHRISTIE LYNNE COFFMAN Pharmacist 3650 WALTON DR,
MYRTLE BEACH, SC, United States
01-Mar-2007
1972801447 CHAD WILLIAM BONE Chiropractor 640 HIGHWAY 17 S, UNIT E
SURFSIDE BEACH, SC, United States
08-Mar-2011
1134493141 RAYMOND E CLEARY Dentist, General Practice 1625 GLENNS BAY RD,
SURFSIDE BEACH, SC, United States
08-Mar-2012

FAQs

Whose NPI Number is 1962404111?

1962404111 is the NPI number of COASTAL VISION CENTER.

Where is COASTAL VISION CENTER located?

COASTAL VISION CENTER is located at PO BOX 15790, SURFSIDE BEACH, SC.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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