COASTAL EYE GROUP, P.C. (NPI# 1669774477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669774477 |
Entity Type | Organization |
Organization Name | COASTAL EYE GROUP, P.C. |
Practice Address |
401 79th Ave N Myrtle Beach SC 29572-4310 |
Practice Telephone | 8434497115 |
Practice Fax Number | 8434972960 |
Mailing Telephone | 8434497115 |
Mailing Fax Number | 8434972960 |
Enumeration Date | 2010-11-30 |
Last Update Date | 2010-11-30 |
Authorized Official Name | DR. FRANK K SLOAN JR. (PRESIDENT) |
Authorized Official Telephone | 8434497115 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | COASTAL EYE GROUP, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
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 |
1821142720 | Coastal Eye Group, P.C. | Ophthalmology | 1200 Highmarket St Ste 200, Georgetown, SC 29440-3227 | 2007-01-22 |
1013219823 | Coastal Eye Group, P.C. | Technician/Technologist | 123 Epps St, Lake City, SC 29560-2449 | 2010-11-30 |
1477663706 | Coastal Eye Group, P.C. | Ophthalmology | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2006-08-30 |
Street Address |
401 79TH AVE N |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29572-4310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851310783 | Gail M. Royal | Ophthalmology | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2006-07-19 |
1235350117 | Carl F Sloan | Ophthalmology | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2007-05-01 |
1689728016 | Coastal Optical, Incorporated | Technician/Technologist | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2007-01-23 |
1477663706 | Coastal Eye Group, P.C. | Ophthalmology | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2006-08-30 |
1831119262 | Frank K. Sloan Jr. | Ophthalmology | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
Find all providers in zip 29572 |
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 |
1629629407 | Matthew Joshua Cravin | Technician/Technologist | 350 Seaboard St, Myrtle Beach, SC 29577-9627 | 2019-09-24 |
1013571850 | Mgb Eyes, Inc. | Technician/Technologist | 350 Seaboard St, Myrtle Beach, SC 29577-9627 | 2019-04-26 |
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 | 29572 |
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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.