COASTAL VISION CENTER (NPI# 1962404111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962404111 |
| Entity Type | Organization |
| Organization Name | COASTAL VISION CENTER |
| Practice Address |
1651 Glenns Bay Rd Surfside Beach SC 29575-4836 |
| Mailing Address |
Po Box 15790 Surfside Beach SC 29587-5790 |
| Practice Telephone | 8436502400 |
| Practice Fax Number | 8436502525 |
| Mailing Telephone | 8436502400 |
| Mailing Fax Number | 8436502525 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | MELINDA POSTON (TREAS) |
| Authorized Official Telephone | 8436502400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 694 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DA9945 | 05 | |
| SC | RR MEDICARE | DE4961 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851443840 | Coastal Vision Center | Optometrist | 33 S Kerr Ave, Wilmington, NC 28403-1416 | 2007-01-18 |
| Street Address |
1651 GLENNS BAY RD |
| City | SURFSIDE BEACH |
| State | SC |
| Zip Code | 29575-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080971 | Jerd Watts Poston | Optometrist | 1651 Glenns Bay Rd, Surfside Beach, SC 29575-4836 | 2005-06-01 |
| 1235124900 | James M Coker | Optometrist | 1651 Glenns Bay Rd, Surfside Beach, SC 29575-4836 | 2005-09-19 |
| 1720072325 | Lisa Hand Turbeville | Optometrist | 1651 Glenns Bay Rd, Surfside Beach, SC 29575-4836 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956561 | Adam Christian | Student in an Organized Health Care Education/Training Program | 611 S Hollywood Dr., Surfside Beach, SC 29575 | 2020-06-11 |
| 1740824481 | Latasha Irene Jones | Home Health | 1180 5th Ave N Ext, Unit I, Surfside Beach, SC 29575 | 2019-11-06 |
| 1518430693 | Surfside Counseling, LLC | Counselor | 1500 North Hwy 17 Business, Suite 104, Surfside Beach, SC 29575 | 2019-01-10 |
| 1316424393 | Mobile Medical PC | Clinic/Center | 1991 Glenns Bay Rd Ste 102b, Myrtle Beach, SC 29575 | 2018-07-23 |
| 1841786845 | Eva C Yu | Acupuncturist | 1514 Us-17 Bus, Surfside Beach, SC 29575 | 2018-07-03 |
| 1295262053 | Johanna Moeller | Speech-Language Pathologist | 8703 Highway 17 Bypass S, Suite I, Myrtle Beach, SC 29575 | 2017-05-11 |
| 1104227560 | Office Align Incorporated | Chiropractor | 8733 Bypass 17, Surfside Beach, SC 29575 | 2014-09-04 |
| 1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
| 1164719472 | South Beach Dental Office Inc. | Dentist | 8848 Hwy 17 Bypass, Surfside Beach, SC 29575 | 2011-07-07 |
| 1083943815 | Prs II, LLC | Physical Therapist | 3076 Dick Pond Road Unit 4, Myrtle Beach, SC 29575 | 2009-12-07 |
| Find all providers in zip 29575 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730110537 | Stuart P Creson | Optometrist | 2751 Beaver Run Blvd, Suite C, Surfside Beach, SC 29575 | 2006-07-06 |
| 1033152772 | Harry Eugene Kreutziger | Optometrist | 2751 Beaver Run Blvd., Box 8, Surfside Beach, SC 29575 | 2006-06-13 |
| 1730149964 | John Michael Mills | Optometrist | 8703 Highway 17 Byp S Ste B, Surfside Beach, SC 29575-7701 | 2006-03-23 |
| 1639148554 | Gary Bodofsky | Optometrist | 2014 Highway 17 N, Surfside Beach, SC 29575-6072 | 2006-03-14 |
| 1720080971 | Jerd Watts Poston | Optometrist | 1651 Glenns Bay Rd, Surfside Beach, SC 29575-4836 | 2005-06-01 |
| 1659517175 | Stuart P. Creson Inc | Optometrist | 2751 Beaver Run Blvd, Suite C, Surfside Beach, SC 29575 | 2009-01-06 |
| 1649453051 | Gary A. Bodofsky | Optometrist | 2014 Highway 17 N, Surfside Beach, SC 29575-6072 | 2007-12-07 |
| 1972717940 | Inlet Optometric Eycare, Inc. | Optometrist | 8703 Highway 17 Byp S, Suite B, Surfside Beach, SC 29575-7701 | 2007-05-09 |
| 1235124900 | James M Coker | Optometrist | 1651 Glenns Bay Rd, Surfside Beach, SC 29575-4836 | 2005-09-19 |
| 1720072325 | Lisa Hand Turbeville | Optometrist | 1651 Glenns Bay Rd, Surfside Beach, SC 29575-4836 | 2005-09-09 |
| Find all providers in SURFSIDE BEACH | ||||
| City | SURFSIDE BEACH |
| Zip Code | 29575 |
Please comment or provide details below to improve the information on COASTAL VISION CENTER.
| 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.