Organization Active NPI

MGB Eyes, Inc.

  • Eyewear Supplier
  • Myrtle Beach, SC
National Provider Identifier
1013571850
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MGB EYES, INC.
Practice address
350 Seaboard St
Myrtle Beach, SC 29577-9627
Phone
(843) 839-2233
Fax
(843) 839-0137
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tammy Looney
Title
Associate
Phone
(843) 839-2233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

350 Seaboard St
Myrtle Beach, SC 29577-9627

Mailing address

350 Seaboard St
Myrtle Beach, SC 29577-9627
Phone (843) 839-2233

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Locations

350 Seaboard St
Myrtle Beach, SC 29577
Phone (843) 449-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1013571850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SEABOARD ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779627",
            "telephone_number": "843-839-2233",
            "fax_number": "843-839-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SEABOARD ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779627",
            "telephone_number": "843-839-2233",
            "fax_number": "843-839-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGB EYES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "LOONEY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "843-839-2233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.