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 1651 GLENNS BAY RD, 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 PO BOX 15790, 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 15 years ago. The authorized official of COASTAL VISION CENTER is MELINDA POSTON (Treas). MELINDA POSTON can be reached at 8436502400.1962404111 NPI Information
Basic NPI information of COASTAL VISION CENTER (NPI 1962404111) is provided below.
| Name | COASTAL VISION CENTER |
|---|---|
| National Provider Id (NPI) | 1962404111 |
| Entity Type | Organization |
| Practice Address | 1651 GLENNS BAY RD,
SURFSIDE BEACH, SC, United States |
| Practice Telephone | 843-650-2400 |
| Practice Fax Number | 843-650-2525 |
| Mailing Address | PO BOX 15790 ,
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
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 694 | SC |
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.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA9945 | MEDICAID (05) | SC | |
| DE4961 | Other (non-Medicare) (01) | SC | RR Medicare |
COASTAL VISION CENTER (NPI 1962404111) Office Location
Office location of COASTAL VISION CENTER is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1285116152 | JONEEN MARY ADAMS | Specialist | 895 N FRASER ST,
GEORGETOWN, SC, United States |
06-Sep-2018 |
| 1801810007 | BRIAN KEITH ADLER | Internal Medicine | 1945 GLENNS BAY RD,
SURFSIDE BEACH, SC, United States |
27-Jul-2006 |
| 1679119556 | ADVANCED COUNSELING LLC | Social Worker, Clinical | 212 CEDAR DR N,
SURFSIDE BEACH, SC, United States |
26-Nov-2019 |
| 1649609249 | ALIGN CHIROPRACTIC AND MASSAGE | Chiropractor | 640 HIGHWAY 17 S,
SUITE E SURFSIDE BEACH, SC, United States |
04-Nov-2013 |
| 1487779013 | ALMS CLINICAL ASSOCIATES | Chiropractor | 1514 HWY 17 BUS. N,
SURFSIDE BEACH, SC, United States |
20-Mar-2007 |
| 1568575009 | ARS HOLDINGS, LLC | Durable Medical Equipment & Medical Supplies | 1500 HIGHWAY 17 N,
SUITE 207 SURFSIDE BEACH, SC, United States |
17-Aug-2006 |
| 1851825236 | AUDPRACTICE GROUP | Hearing Instrument Specialist | 405 PARKWAY,
SUITE E GREENSBORO, NC, United States |
12-Apr-2017 |
| 1497004915 | JENNIFER T AVESON | Pharmacist | 1512 HOLLY DR,
UNIT 104 NORTH MYRTLE BEACH, SC, United States |
30-Aug-2012 |
| 1336748805 | EDWARD BARBAROTTO | Pharmacist | 3710 HIGHWAY 17 BYPASS,
MURRELLS INLET, SC, United States |
25-Oct-2020 |
| 1639275167 | CATHERINE K BETANCOURT | Physical Therapist | 520 HIGHWAY 17 S,
SURFSIDE BEACH, SC, United States |
15-Sep-2006 |
| 1952844110 | BETHANY CHRISTIAN SERVICES OF SC | Social Worker | 1500 HIGHWAY 17 BUS N,
SUITE 210 SURFSIDE BEACH, SC, United States |
21-Nov-2016 |
| 1144570425 | BRENDEN M BLASCHKE | Physical Therapist | 1413 HIGHWAY 17 N,
SUITE A SURFSIDE BEACH, SC, United States |
14-Sep-2012 |
| 1639148554 | GARY BODOFSKY | Optometrist | 2014 HIGHWAY 17 N,
SURFSIDE BEACH, SC, United States |
14-Mar-2006 |
| 1972801447 | CHAD WILLIAM BONE | Chiropractor | 640 HIGHWAY 17 S,
UNIT E SURFSIDE BEACH, SC, United States |
08-Mar-2011 |
| 1255995411 | COLLEEN BRADLEY | Physician Assistant | 2734 BEAVER RUN BLVD UNIT D,
SURFSIDE BEACH, SC, United States |
23-Apr-2019 |
| 1881952471 | JENNIFER BRADY | Pharmacist | 118 HIGHWAY 17 N,
SURFSIDE BEACH, SC, United States |
02-May-2012 |
| 1508242868 | TRAVIS SCOTT BROWN | Physical Therapist | 1509 DEER PARK LN,
SURFSIDE BEACH, SC, United States |
09-Aug-2015 |
| 1144688250 | LINDSEY THOMAS BUDHOO | Nurse Practitioner, Family | 1413 HIGHWAY 17 N,
SURFSIDE BEACH, SC, United States |
03-Feb-2016 |
| 1932558905 | CAROLYN BULLINGTON | Hearing Instrument Specialist | 15 LONG CREEK DR,
MURRELLS INLET, SC, United States |
09-Jun-2016 |
| 1972232478 | REANNA MARIE CAMPBELL | Hearing Instrument Specialist | 149 PLANTATION RIDGE DR STE 140,
MOORESVILLE, NC, United States |
09-Jun-2022 |
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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 1651 GLENNS BAY RD, 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:
|
| 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:
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