COASTAL EYE GROUP, P.C. (NPI# 1104128917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104128917 |
| Entity Type | Organization |
| Organization Name | COASTAL EYE GROUP, P.C. |
| Practice Address |
1200 Highmarket St Ste 101 Georgetown SC 29440-3227 |
| Mailing Address |
401 79th Ave N Myrtle Beach SC 29572-4310 |
| Practice Telephone | 8435468421 |
| Practice Fax Number | 8435461173 |
| Mailing Telephone | 8434497115 |
| Mailing Fax Number | 8434972960 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2013-02-04 |
| Authorized Official Name | DR. FRANK K 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 |
|---|---|---|---|---|
| 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 |
| 1013219823 | Coastal Eye Group, P.C. | Technician/Technologist | 123 Epps St, Lake City, SC 29560-2449 | 2010-11-30 |
| 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 |
1200 HIGHMARKET ST STE 101 |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639290638 | Ellen Carella | Technician/Technologist | 1 Patriot Ln, Unit 12, Georgetown, MA 01833-2235 | 2007-04-03 |
| 1437241080 | Wal-mart Stores Texas, Lp | Technician/Technologist | 620 South Ih 35, Georgetown, TX 78626 | 2006-09-29 |
| 1508910977 | Coastal Optical Incorporated | Technician/Technologist | 1200 Highmarket St, Suite 200, Georgetown, SC 29440-3227 | 2007-01-23 |
| 1659454296 | Wal-mart Stores East, Lp | Technician/Technologist | 112 Osbourne Way, Georgetown, KY 40324-9636 | 2006-10-24 |
| 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 | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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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.