National Provider Identifier Database

COASTAL VISION CARE LLC
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.


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
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for COASTAL VISION CARE LLC

NPI Number 1689777849
Legal business name
LBN
COASTAL VISION CARE LLC
Authorized official DIANE JURAS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/06/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: SC0956
  • SC Medicaid: D09569
  • SC Medicaid: DA9726

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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