COASTAL EYE GROUP, P.C. (NPI# 1013219823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013219823 |
| Entity Type | Organization |
| Organization Name | COASTAL EYE GROUP, P.C. |
| Practice Address |
123 Epps St Lake City SC 29560-2449 |
| Mailing Address |
401 79th Ave N Myrtle Beach SC 29572-4310 |
| Practice Telephone | 8433745487 |
| Practice Fax Number | 8433747342 |
| Mailing Telephone | 8434497115 |
| Mailing Fax Number | 8434972960 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | FRANK SLOAN JR. (PRESIDENT) |
| Authorized Official Telephone | 8434497115 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL EYE GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104128917 | Coastal Eye Group, P.C. | Technician/Technologist | 1200 Highmarket St Ste 101, Georgetown, SC 29440-3227 | 2010-11-30 |
| 1821142266 | Coastal Eye Group, P.C. | Ophthalmology | 4055 Hwy 17 South, Murrells Inlet, SC 29576 | 2007-01-23 |
| 1821142720 | Coastal Eye Group, P.C. | Ophthalmology | 1200 Highmarket St Ste 200, Georgetown, SC 29440-3227 | 2007-01-22 |
| 1669774477 | Coastal Eye Group, P.C. | Technician/Technologist | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2010-11-30 |
| 1477663706 | Coastal Eye Group, P.C. | Ophthalmology | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2006-08-30 |
| Street Address |
123 EPPS ST |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396847539 | Michael P Weisgerber | Optometrist | 123 Epps St, Lake City, SC 29560-2449 | 2006-09-01 |
| 1205145455 | Coastal Eye Group, P.C.. | Optometrist | 123 Epps St, Lake City, SC 29560-2449 | 2010-10-05 |
| 1922187483 | M L Denny | Optometrist | 123 Epps St, Lake City, SC 29560 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700165651 | Wal-mart Stores East Lp | Technician/Technologist | 900 Us 52 Hwy, Lake City, SC 29560 | 2011-08-10 |
| 1235359258 | Sherri Alaine Cole | Technician/Technologist | 621 Sw Baya Dr, Suite 101, Lake City, FL 32025-4240 | 2007-05-01 |
| 1053532085 | Cole Optics, LLC | Technician/Technologist | 621 Sw Baya Dr, Suite 101, Lake City, FL 32025-4240 | 2007-05-01 |
| 1043304330 | Wal-mart Stores East, Lp | Technician/Technologist | 2767 W Us Highway 90, Lake City, FL 32055-4755 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332864 | Insight Optical | Technician/Technologist | 451 E Saint John St, Spartanburg, SC 29302-1623 | 2020-10-06 |
| 1093323289 | Benjamin Cade | Technician/Technologist | 404 Johnson St Ste A, Pickens, SC 29671-2479 | 2020-07-14 |
| 1891312427 | Cory Threatt | Technician/Technologist | 232 Cherry Rd S Ste 120, Rock Hill, SC 29732-3413 | 2020-06-30 |
| 1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
| 1942763750 | Kristi Thompson | Technician/Technologist | 100 Pershing Ave Ste 1, Clemson, SC 29631-2193 | 2019-04-09 |
| 1144792243 | Jennifer Rauchut | Technician/Technologist | 310 Azalea Square Blvd Unit C, Summerville, SC 29483-7362 | 2018-12-30 |
| 1215446877 | National Vision, Inc. | Technician/Technologist | 702 Fairview Rd, Simpsonville, SC 29680-8156 | 2017-09-27 |
| 1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1104374172 | Sams East, Inc | Technician/Technologist | 14 Bluffton Road, Bluffton, SC 29910-7621 | 2016-09-19 |
| Find all providers with the same taxonomy | ||||
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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.