DR. LAWRENCE RAYMOND CUSTER


Address: 1512 Coastal Grand Cir, C330, Myrtle Beach, SC 29577-0015
Phone: 8434440090

DR. LAWRENCE RAYMOND CUSTER (NPI# 1740406214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740406214
Entity Type Individual
Full Name DR. LAWRENCE RAYMOND CUSTER
Credential OD
Practice Address 1512 Coastal Grand Cir
C330
Myrtle Beach
SC 29577-0015
Mailing Address Po Box 50864
Myrtle Beach
SC 29579-0015
Practice Telephone 8434440090
Practice Fax Number 8434440377
Mailing Telephone 8434440090
Mailing Fax Number 8434440377
Enumeration Date 2007-04-17
Last Update Date 2008-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist SC1237 SC Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC EYEMED VISION CARE SC1237 01

Office Location

Street Address 1512 COASTAL GRAND CIR
C330
City MYRTLE BEACH
State SC
Zip Code 29577-0015

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NPI Name Taxonomy Address Enumeration
1124536446 Well Care Home Health of The Lowcountry Home Health 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 2018-01-22
1518470913 Guillot Enterprises, LLC Hearing Instrument Specialist 1294 Professional Dr., Suite C, Myrtle, SC 29577 2017-11-08
1598288227 Ryan Shepherd Pharmacist 1705 South Kings Highway, Myrtle Beach, SC 29577 2017-07-25
1184176554 Shannon Long Counselor 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 2016-11-01
1265898191 Coastal Carolina Infectious Disease, LLC Internal Medicine 1110 London St Ste 102, Myrtle Beach, SC 29577 2016-01-07
1548639933 Susan Lang Social Worker 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 2015-09-16
1043600893 Kenneth Edward Smith Counselor 1125 48th Avenue North, Myrtle Beach, SC 29577 2015-02-02
1902203615 Sc Nursing Services LLC Home Infusion 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 2014-11-24
1881007946 Intercoastal Endo, PC Dentist 4382 Oleander Dr, Myrtle Beach, SC 29577 2014-06-06
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891246823 Surge Eye Associates, LLC Optometrist 240 Lands End Blvd, Myrtle Beach, SC 29572-7054 2016-10-14
1306229729 Cynthia Collins Optometrist 4225 Carolina Exchange Dr Ste A, Myrtle Beach, SC 29579-4221 2015-07-02
1962884684 Meghan Loher Optometrist 2000 Coastal Grand Cir Spc C330, Myrtle Beach, SC 29577-9798 2015-06-19
1548607419 Jade Madison Walker Optometrist 1101 Johnson Ave Ste 101, Myrtle Beach, SC 29577-1893 2013-05-31
1720211543 Merhi Eye Clinic Optometrist 10820 North Kings Highway, Suite 1, Myrtle Beach, SC 29572 2009-08-27
1598984718 Visioin Care P.a. Optometrist 1240 21 Avenue North, Suite1a, Myrtle Beach, SC 29577 2007-04-25
1912021759 Siegmund Eye Care Pa Optometrist 4278 River Oaks Dr, Myrtle Beach, SC 29579-5603 2007-03-19
1780728824 Coastal Grand Eye Associates Ltd. Co. Optometrist 1512 Coastal Grand Circle, C 330, Myrtle Beach, SC 29577-9779 2007-02-19
1073675690 Jason Siegmund Optometrist 540 Seaboard St, Myrtle Beach, SC 29577 2006-12-14
1730240151 Lauri B. Graham Optometrist 1206 Moser Dr, The Market Common, Myrtle Beach, SC 29577-1575 2006-12-12
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City MYRTLE BEACH
Zip Code 29577

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Dataset Information

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.

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