THE OPTICAL SHOP (NPI# 1285957985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285957985 |
| Entity Type | Organization |
| Organization Name | THE OPTICAL SHOP |
| Practice Address |
4335 Dick Pond Rd # 419 Myrtle Beach SC 29588-6809 |
| Mailing Address |
3911a, Hwy 17 Bypass Murrells Inlet SC 29576 |
| Practice Telephone | 8433476090 |
| Mailing Telephone | 8436518214 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Authorized Official Name | MR. HORACE EARL FERGUSON JR. (LICENSED OPTICIAN) |
| Authorized Official Telephone | 8436552299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
436 | SC | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770843476 | The Optical Shop | Eyewear Supplier (Equipment, not the service) | N89w16785 Appleton Ave, Menomonee Falls, WI 53051-2071 | 2012-05-29 |
| 1659637536 | The Optical Shop | Technician/Technologist | 2516 Samaritan Dr, Suite E, San Jose, CA 95124-4108 | 2012-04-05 |
| 1770761462 | The Optical Shop | Eyewear Supplier (Equipment, not the service) | 712 E 69th St, Savannah, GA 31405-4716 | 2008-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE OPTICAL SHOP OF ASPEN | 111 Eighth Avenue, New York, New York 10011 |
| Colorado Business Entities | The Optical Shop of Aspen Corp. | 4000 Luxottica Place, Mason, OH 45040 |
| New York State Corporations | THE OPTICAL SHOP OF CLIFTON PARK LLC | 60 Railroad Pl. Ste. 502, Saratoga Springs, Ny 12866 |
| Colorado Business Entities | THE OPTICAL SHOPPE, INC. | 48 E Main St, Cortez, CO 81321 |
| Street Address |
4335 DICK POND RD # 419 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-6809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| 1124101050 | Wal-mart Stores East, Lp | Technician/Technologist | 10820 Kings Rd, Myrtle Beach, SC 29572-6070 | 2006-10-23 |
| 1124123914 | Sam's Club Optical | Technician/Technologist | 1946 10th Avenue North, Myrtle Beach, SC 29577-5624 | 2006-09-14 |
| 1629629407 | Matthew Joshua Cravin | Technician/Technologist | 350 Seaboard St, Myrtle Beach, SC 29577-9627 | 2019-09-24 |
| 1013571850 | Mgb Eyes, Inc. | Technician/Technologist | 350 Seaboard St, Myrtle Beach, SC 29577-9627 | 2019-04-26 |
| 1669774477 | Coastal Eye Group, P.C. | Technician/Technologist | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2010-11-30 |
| 1689728016 | Coastal Optical, Incorporated | Technician/Technologist | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2007-01-23 |
| 1396828224 | Wal-mart Stores East, Lp | Technician/Technologist | 541 Seaboard St, Myrtle Beach, SC 29577-9733 | 2006-10-23 |
| 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 | MYRTLE BEACH |
| Zip Code | 29588 |
Please comment or provide details below to improve the information on THE OPTICAL SHOP.
| 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.