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Contact Information

COASTAL VISION CARE LLC
605 SAINT JAMES AVE
GOOSE CREEK, SC29445
 Phone: 843-863-1215
 Fax: 843-553-7335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for COASTAL VISION CARE LLC · (Female)

NPI # 1689777849
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # SC0956
  • SC Medicaid D09569
  • SC Medicaid DA9726
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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