Allouch Optometric, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC1211 Issued in SC

Legal business name

ALLOUCH OPTOMETRIC, PC

Practice address

2703 N Kings Hwy
Myrtle Beach, SC 29577-3011

Phone

(843) 448-1596

Fax

(843) 448-4793

NPI assigned

Apr 12, 2007

Last updated

Mar 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fouad S. Allouch, O.DNPI 1972676203

Title

President

Phone

(843) 448-1596

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fouad S Allouch, O.D

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1972676203
  Medicare reassignment NPD Authorized official
• Jo Ann Jeffers, OD

  • Optometrist
  • North Myrtle Beach, SC
  • NPI 1821058926
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1073737870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773011",
            "telephone_number": "843-448-1596",
            "fax_number": "843-448-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773011",
            "telephone_number": "843-448-1596",
            "fax_number": "843-448-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLOUCH OPTOMETRIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "ALLOUCH",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-448-1596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC1211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12118",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Leatherman Allen, M.D.
• Scott D Allen, CRNA
• Scott H Allen, MD
• Allexa Home Healthcare & Concierge Services
• Brad Douglas Allison, PHARM D
• Fouad S Allouch, O.D
• Abdulelah Almutairi, MD
• Olubunmi Ashabi Alo, M.D.
• Amy Katherine Alsbrooks, PT
• Alyssa Lanae Alston

• Optometrist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.