MR. MATTHEW JOSHUA CRAVIN (NPI# 1629629407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629629407 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW JOSHUA CRAVIN |
| Credential | LDO, ABOC |
| Practice Address |
350 Seaboard St Myrtle Beach SC 29577-9627 |
| Practice Telephone | 8438392233 |
| Practice Fax Number | 8438390137 |
| Mailing Telephone | 8438392233 |
| Mailing Fax Number | 8438390137 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1069 | SC | Eye and Vision Services Providers |
| Street Address |
350 SEABOARD ST |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-9627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942260716 | Samuel J Singleton | Optometrist | 350 Seaboard St, Myrtle Beach, SC 29577 | 2006-03-25 |
| 1013571850 | Mgb Eyes, Inc. | Technician/Technologist | 350 Seaboard St, Myrtle Beach, SC 29577-9627 | 2019-04-26 |
| 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 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285957985 | The Optical Shop | Technician/Technologist | 4335 Dick Pond Rd # 419, Myrtle Beach, SC 29588-6809 | 2010-03-09 |
| 1124101050 | Wal-mart Stores East, Lp | Technician/Technologist | 10820 Kings Rd, Myrtle Beach, SC 29572-6070 | 2006-10-23 |
| 1124123914 | Sam's Club Optical | Technician/Technologist | 1946 10th Avenue North, Myrtle Beach, SC 29577-5624 | 2006-09-14 |
| 1013571850 | Mgb Eyes, Inc. | Technician/Technologist | 350 Seaboard St, Myrtle Beach, SC 29577-9627 | 2019-04-26 |
| 1669774477 | Coastal Eye Group, P.C. | Technician/Technologist | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2010-11-30 |
| 1689728016 | Coastal Optical, Incorporated | Technician/Technologist | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2007-01-23 |
| 1396828224 | Wal-mart Stores East, Lp | Technician/Technologist | 541 Seaboard St, Myrtle Beach, SC 29577-9733 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332864 | Insight Optical | Technician/Technologist | 451 E Saint John St, Spartanburg, SC 29302-1623 | 2020-10-06 |
| 1093323289 | Benjamin Cade | Technician/Technologist | 404 Johnson St Ste A, Pickens, SC 29671-2479 | 2020-07-14 |
| 1891312427 | Cory Threatt | Technician/Technologist | 232 Cherry Rd S Ste 120, Rock Hill, SC 29732-3413 | 2020-06-30 |
| 1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
| 1942763750 | Kristi Thompson | Technician/Technologist | 100 Pershing Ave Ste 1, Clemson, SC 29631-2193 | 2019-04-09 |
| 1144792243 | Jennifer Rauchut | Technician/Technologist | 310 Azalea Square Blvd Unit C, Summerville, SC 29483-7362 | 2018-12-30 |
| 1215446877 | National Vision, Inc. | Technician/Technologist | 702 Fairview Rd, Simpsonville, SC 29680-8156 | 2017-09-27 |
| 1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1104374172 | Sams East, Inc | Technician/Technologist | 14 Bluffton Road, Bluffton, SC 29910-7621 | 2016-09-19 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.