COASTAL VISION CARE LLC (NPI# 1689777849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689777849 |
| Entity Type | Organization |
| Organization Name | COASTAL VISION CARE LLC |
| Practice Address |
605 Saint James Ave Goose Creek SC 29445 |
| Mailing Address |
Po Box 23 Isle of Palms SC 29451 |
| Practice Telephone | 8438631215 |
| Practice Fax Number | 8435537335 |
| Mailing Telephone | 8436932505 |
| Mailing Fax Number | 8435537335 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DIANE ROSALIE JURAS (OWNER) |
| Authorized Official Telephone | 8436932505 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | SC0956 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DA9726 | 05 | |
| SC | D09569 | 05 |
| Street Address |
605 SAINT JAMES AVE |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629026570 | Diane Juras | Optometrist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2006-05-04 |
| 1497284517 | Erica Ryan Juras | Optometrist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2017-06-12 |
| 1497163745 | Stephanie Michelle Saja | Pharmacist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2014-07-31 |
| 1245650167 | Janice Willis | Pharmacist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2014-04-17 |
| 1992125801 | William Schlueter | Pharmacist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2014-04-17 |
| 1336569441 | Marcia Michelle Bailey | Pharmacist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2014-04-16 |
| 1417376807 | Stephen Brown | Pharmacist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2014-04-14 |
| 1437231735 | Wal-mart Stores East, Lp | Technician/Technologist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2006-10-19 |
| 1366469520 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| 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 |
|---|---|---|---|---|
| 1336440668 | Lowcountry Eye Care of Goose Creek | Optometrist | 425 Red Bank Rd, Goose Creek, SC 29445-4505 | 2010-11-03 |
| 1790952711 | Kelly Richmond Revy | Optometrist | 746 Pulaski St, Goose Creek, SC 29445-6143 | 2008-05-08 |
| 1760405955 | Karen L King | Optometrist | 216 Saint James Ave Ste F, Goose Creek, SC 29445-3085 | 2006-07-26 |
| 1629026570 | Diane Juras | Optometrist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2006-05-04 |
| 1114908092 | Goose Creek Vision Center, Inc. | Optometrist | 425 Redbank Rd, Goose Creek, SC 29445-4505 | 2005-11-08 |
| 1497284517 | Erica Ryan Juras | Optometrist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2017-06-12 |
| 1124431739 | Kathryn Gahagan | Optometrist | 425 Red Bank Rd, Goose Creek, SC 29445-4505 | 2014-06-11 |
| 1801877782 | Melvin Bernard Watsky | Optometrist | 425 Redbank Rd, Goose Creek, SC 29445-4505 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515014 | Michael Richard Campbell | Optometrist | 10 Hospital Center Cmns Ste 100, Hilton Head Island, SC 29926-2838 | 2020-10-12 |
| 1760080824 | Jason Thomason | Optometrist | 113 Foxbank Plantation Blvd # C, Moncks Corner, SC 29461-6707 | 2020-10-12 |
| 1720696792 | National Vision Inc | Optometrist | 1317 N Main St Ste A3, Summerville, SC 29483-7342 | 2020-07-16 |
| 1871101857 | National Vision Inc | Optometrist | 1050 Fording Island Rd Ste G, Bluffton, SC 29910-8667 | 2020-07-16 |
| 1770104549 | Erica Jill Bobb | Optometrist | 3029 Oliver Stanley Trl, Lancaster, SC 29720-0286 | 2020-05-02 |
| 1346860491 | Hannah C. Williams | Optometrist | 2008 Concord Dr, Camden, SC 29020-9516 | 2020-04-19 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1831724756 | Jax & Rae Optometric | Optometrist | 970 Liberty St E, York, SC 29745-1662 | 2020-03-11 |
| 1083248785 | National Vision Inc | Optometrist | 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407-4681 | 2020-03-03 |
| 1972135754 | Healthy Eyes Vision Group LLC | Optometrist | 1518 Pickens St, Columbia, SC 29201-3449 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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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.