COASTAL EYE GROUP, P.C. (NPI# 1821142720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821142720 |
| Entity Type | Organization |
| Organization Name | COASTAL EYE GROUP, P.C. |
| Practice Address |
1200 Highmarket St Ste 200 Georgetown SC 29440-3227 |
| Mailing Address |
1200 Highmarket St Ste 200 P.o. Box 2900 Georgetown SC 29440-3227 |
| Practice Telephone | 8435468421 |
| Practice Fax Number | 8436521173 |
| Mailing Telephone | 8435468421 |
| Mailing Fax Number | 8436521173 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | MRS. CAROL L. RATELIFF (OFFICE MANAGER) |
| Authorized Official Telephone | 8435468421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PC0502 | 05 |
| 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 |
| 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 200 |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487093738 | Jenna M Benson | Internal Medicine | 1200 Highmarket St Ste 200, Georgetown, SC 29440-3227 | 2013-06-20 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487213872 | Mann Eye Center, Pa | Ophthalmology | 1530 Sun City Blvd Ste 150, Georgetown, TX 78633-5353 | 2019-06-10 |
| 1811901887 | Jon Fredrick Dietlein | Ophthalmology | 311 River Bend Dr, Georgetown, TX 78628-2782 | 2006-07-28 |
| 1154343192 | Richard E. Dechamplain | Ophthalmology | 1200 Highmarket St, Suite 200, Georgetown, SC 29440-3227 | 2006-07-25 |
| 1689611949 | Wwr, Psc | Ophthalmology | 103 S Bradford Ln, Georgetown, KY 40324-2336 | 2006-06-02 |
| 1508211657 | Reveal Eye Care & Surgery, Pllc | Ophthalmology | 3613 Williams Dr, Suite 703, Georgetown, TX 78628-1377 | 2016-04-26 |
| 1073748158 | James Jerome Gullett | Ophthalmology | 103 S Bradford Ln, #102, Georgetown, KY 40324-2336 | 2009-05-19 |
| 1447441282 | Anderson Hills Eye, Inc. | Ophthalmology | 415 Home St, Georgetown, OH 45121-1478 | 2007-08-07 |
| 1144422908 | Justin David Aaker | Ophthalmology | 3613 Williams Dr, Suite 703, Georgetown, TX 78628-1377 | 2007-06-04 |
| 1881618502 | Gerald R. Tiller | Ophthalmology | 1200 Highmarket St, Georgetown, SC 29440-3227 | 2006-07-26 |
| 1033133772 | Carole M. Young | Ophthalmology | 1200 Highmarket St, Suite 200, Georgetown, SC 29440-3227 | 2006-07-26 |
| Find all providers in GEORGETOWN | ||||
| 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.