Provider Type Icon

GRAND STRAND VISION SERVICES INC. NPI 1942226337


NPI Information

NPI: 1942226337
Provider Name: GRAND STRAND VISION SERVICES, INC.
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
4886 SOCASTEE BLVD
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 293-1555
Get Directions

GRAND STRAND VISION SERVICES, INC. is a vision therapy optometrist in Myrtle Beach, SC. The provider is 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. GRAND STRAND VISION SERVICES, INC. NPI is 1942226337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4886 SOCASTEE BLVD
MYRTLE BEACH, SC
ZIP 29588-245
Phone: (843) 293-1555
Fax: (843) 293-8102

The provider's authorized official is Mark Tracy Dean .
The authorized official title is Owner and has the following contact phone number (843) 293-1555.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 10/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision TherapyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19990MEDICARE PINSOUTH CAROLINA
2DA9697MEDICAIDSOUTH CAROLINA
30884400001MEDICARE NSCSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.