Organization Active NPI

Erica Juras OD, LLC

Doing business as Coastal Vision Care

  • Optometrist
  • Charleston, SC
National Provider Identifier
1104572494
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ERICA JURAS OD, LLC
Doing business as
Coastal Vision Care
Practice address
3951 W Ashley Cir
Charleston, SC 29414-9156
Phone
(843) 718-4131
Fax
(843) 806-2898
NPI assigned
Feb 24, 2022
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Erica Ryan JurasNPI 1497284517
Title
Owner
Phone
(443) 223-3447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3951 W Ashley Cir
Charleston, SC 29414-9156

Mailing address

815 Jeb Stuart Rd
Charleston, SC 29412-9161
Phone (843) 718-4131

Other practice location 1

9880 Dorchester Rd
Summerville, SC 29485-8545
Phone (843) 412-6963

Other names 1

  • Coastal Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221207001426 SC Part B Supplier - Clinic/Group Practice 3072900810 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1104572494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 JEB STUART RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294129161",
            "telephone_number": "843-718-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 W ASHLEY CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294149156",
            "telephone_number": "843-718-4131",
            "fax_number": "843-806-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9880 Dorchester Rd",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858545",
            "country_code": "US",
            "telephone_number": "843-412-6963",
            "fax_number": "843-872-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERICA JURAS OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "JURAS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-223-3447"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.