GRAND STRAND VISION SERVICES, INC. (NPI# 1942226337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942226337 |
| Entity Type | Organization |
| Organization Name | GRAND STRAND VISION SERVICES, INC. |
| Practice Address |
4886 Socastee Blvd Myrtle Beach SC 29588-7245 |
| Practice Telephone | 8432931555 |
| Practice Fax Number | 8432938102 |
| Mailing Telephone | 8432931555 |
| Mailing Fax Number | 8432938102 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-10-16 |
| Authorized Official Name | DR. MARK TRACY DEAN (OWNER) |
| Authorized Official Telephone | 8432931555 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DA9697 | 05 |
| Street Address |
4886 SOCASTEE BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-7245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164491718 | Mark Tracy Dean | Optometrist | 4886 Socastee Blvd, Myrtle Beach, SC 29588-7245 | 2006-03-16 |
| 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 | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710107446 | Upstate Vision Therapy Center Inc | Optometrist | 3 A Winchester Ct, Mauldin, SC 29662 | 2007-04-26 |
| 1598703878 | Frank W Forgnoni | Optometrist | 7611 Highway 76, Ste B, Pendleton, SC 29670-9162 | 2006-06-02 |
| 1174525281 | Rosalie Lee | Optometrist | 3921 S Highway 14 Ste D, Greenville, SC 29615-6138 | 2005-06-01 |
| 1538104336 | Innovative Vision Center LLC | Optometrist | 7611 Highway 76, Ste. B, Pendleton, SC 29670-9162 | 2006-06-17 |
| 1801830146 | Focus Eye Care Center, PC | Optometrist | 1620 Browning Rd, Columbia, SC 29210 | 2006-06-16 |
| 1811978273 | Billie S Schiera | Optometrist | 415 Brockman Mcclimon Rd, Greer, SC 29651-6608 | 2005-11-10 |
| 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.