SPECIALTY EYE CARE OF THE CAROLINAS, PC


Address: 15 Medical Center Dr, Supply, NC 28462-3350
Phone: 9107545437

SPECIALTY EYE CARE OF THE CAROLINAS, PC (NPI# 1760661235) 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) 1760661235
Entity Type Organization
Organization Name SPECIALTY EYE CARE OF THE CAROLINAS, PC
Practice Address 15 Medical Center Dr
Supply
NC 28462-3350
Mailing Address 1115 48th Ave N Ste 121
Myrtle Beach
SC 29577-5420
Practice Telephone 9107545437
Practice Fax Number 9107545443
Mailing Telephone 8434496478
Mailing Fax Number 8434978571
Enumeration Date 2007-10-31
Last Update Date 2007-10-31
Authorized Official Name SHAWN F. RILEY (PRESIDENT)
Authorized Official Telephone 9107545434
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 9300575 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 891137Y 05
NC BCBS 1137Y 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992984470 Specialty Eye Care of The Carolinas, PC Ophthalmology 1115 48th Ave N Ste 121, Myrtle Beach, SC 29577-5420 2007-10-31

Office Location

Street Address 15 MEDICAL CENTER DR
City SUPPLY
State NC
Zip Code 28462-3350

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1023532686 Novant Health Brunswick Endoscopy Center, LLC Nurse Anesthetist, Certified Registered 13 Medical Campus Drive, Suite 101, Supply, NC 28462 2017-07-26
1821510579 Novant Health Brunswick Endoscopy Center, LLC Clinic/Center 13 Medical Campus Dr, Suite 101, Supply, NC 28462 2017-07-14
1831461920 Reginald Lofton Hewett Counselor 1473 Cedar Grove Rd, Supply, NC 28462 2012-02-03
1760793343 Coastal Hearing Centers, Inc Clinic/Center 2298 Ocean Hwy, Supply, NC 28462 2010-06-29
1083943567 Lorell Sneeden Pait Nurse Practitioner 795 Ocean Highway West, Supply, NC 28462 2009-12-14
1043451321 Well Care Home Care Home Health 118 Ocean Highway West, Supply, NC 28462 2009-03-16
1467672873 South Atlantic Radiation Oncology, LLC Clinic/Center 545 Ocean Highway West, Supply, NC 28462 2007-04-26
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669647111 Cataract Consultants Pa Ophthalmology 14 Doctors Cir, Suite 1, Supply, NC 28462-4097 2008-04-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649881145 Wnc Ophthalmology, Pllc Ophthalmology 900 Hendersonville Rd Ste 302, Asheville, NC 28803-1762 2020-08-10
1275154676 Albemarle Eye Center, Pllc Ophthalmology 2511 N Queen St, Kinston, NC 28501-1632 2020-04-27
1518509686 Bruce Howard Redler Ophthalmology 170 Oakanoah Ct, Brevard, NC 28712-8485 2019-10-10
1114572534 Charlotte Eye Ear Nose & Throat Associates, Pa Ophthalmology 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 2019-08-02
1598221848 Eye Physicians and Surgeons of Durham, Pllc Ophthalmology 3811 North Roxboro Street, Durham, NC 27704-5800 2019-02-12
1306323951 Carolina Children's Eye Care, Pa Ophthalmology Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 2018-07-26
1376029827 Albemarle Eye Center, Pllc Ophthalmology 111 W Seachase Dr, Nags Head, NC 27959 2018-07-18
1285177014 Carolina Eye Associates, Inc Ophthalmology 310 N. Greene Street, Wadesboro, NC 28170-1609 2016-11-28
1801271457 Asghar Haider Ophthalmology 2351 Erwin Road, Durham, NC 27710-3036 2015-07-24
1518351493 Lee Angelo Wiley Ophthalmology 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 2015-03-27
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City SUPPLY
Zip Code 28462

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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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