DR. MARK TRACY DEAN (NPI# 1164491718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164491718 |
| Entity Type | Individual |
| Full Name | DR. MARK TRACY DEAN |
| Credential | OD |
| Practice Address |
4886 Socastee Blvd Myrtle Beach SC 29588-7245 |
| Practice Telephone | 8432931555 |
| Mailing Telephone | 8432931555 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2011-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 679 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D06795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840224 | Mark Thomas Dean | Student in an Organized Health Care Education/Training Program | S: 625 19th Street South Birmingham Al 35249, Birmingham, AL 35249-0001 | 2020-04-20 |
| 1285121004 | Mark L Dean | Psychologist | 1100 Glenlake Way, Louisville, KY 40245-5222 | 2018-04-17 |
| 1689884926 | Mark Dean | Counselor | 42 Windermere Ave, Lansdowne, PA 19050-1812 | 2007-05-23 |
| 1265441083 | Mark H Dean | Pain Medicine | 630 Peter Jefferson Pkwy Ste 170, Charlottesville, VA 22911-4624 | 2006-08-08 |
| 1023096542 | Mark Steven Dean | Chiropractor | 2125 E Main St, Suite 4, Siloam Springs, AR 72761-5571 | 2006-01-04 |
| 1346891587 | Mark Tuolee Dean | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2019-09-27 |
| 1992275697 | Mark Christian Dean | Rehabilitation Practitioner | 3650 N Rancho Dr Ste 104, Las Vegas, NV 89130-3151 | 2018-11-26 |
| 1952899973 | Mark Alan Dean | Dentist | 2861 Broad Ave, Memphis, TN 38112-2903 | 2018-04-25 |
| 1639345275 | Mark R. Dean | Dentist | 430 W Erie St, Suite 200, Chicago, IL 60610-6914 | 2008-05-04 |
| 1588751044 | Mark D. Dean | Dentist | 12380 W 64th Ave, Arvada, CO 80004-4016 | 2006-10-06 |
| Street Address |
4886 SOCASTEE BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-7245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942226337 | Grand Strand Vision Services, Inc. | Optometrist | 4886 Socastee Blvd, Myrtle Beach, SC 29588-7245 | 2006-07-15 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1740406214 | Lawrence Raymond Custer | Optometrist | 1512 Coastal Grand Cir, C330, Myrtle Beach, SC 29577-0015 | 2007-04-17 |
| 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 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
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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.