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SPECIALTY EYE CARE OF THE CAROLINAS PC NPI 1992984470


NPI Information

NPI: 1992984470
Provider Name: SPECIALTY EYE CARE OF THE CAROLINAS, PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1115 48TH AVE N STE 121
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 449-6478
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SPECIALTY EYE CARE OF THE CAROLINAS, PC is an ophthalmology in Myrtle Beach, SC. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SPECIALTY EYE CARE OF THE CAROLINAS, PC NPI is 1992984470. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1115 48TH AVE N STE 121
MYRTLE BEACH, SC
ZIP 29577-420
Phone: (843) 449-6478
Fax: (843) 497-8571

The provider's authorized official is Shawn F. Riley .
The authorized official title is President and has the following contact phone number (843) 449-6478.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 4/20/2008.


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
1207W00000XOphthalmology17005SOUTH CAROLINAYes

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
17885MEDICARE PINSOUTH CAROLINA
2=========OTHERSOUTH CAROLINABCBS
3F43253MEDICARE UPINSOUTH CAROLINA
4170059MEDICAIDSOUTH 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: 4/28/2024

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