NPIMap

Organization Active NPI

Cherry Grove Eye Care

  • Optometrist
  • North Myrtle Beach, SC
National Provider Identifier
1114178787
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
848 Issued in SC
Legal business name
CHERRY GROVE EYE CARE
Practice address
706 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2347
Phone
(843) 249-8440
Fax
(843) 280-5388
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Joann Jeffers, ODNPI 1821058926
Title
Owner/Doctor
Phone
(843) 249-8440

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 848 SC Primary

Addresses

Primary practice location

706 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2347

Mailing address

706 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2347
Phone (843) 249-8440

National Provider Directory

National Provider Directory

Locations

706 Sea Mountain Hwy
North Myrtle Beach, SC 29582
Phone (843) 249-8440

Practitioners & affiliated clinicians

Practitioners 2

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": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1114178787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 SEA MOUNTAIN HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822347",
            "telephone_number": "843-249-8440",
            "fax_number": "843-280-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 SEA MOUNTAIN HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822347",
            "telephone_number": "843-249-8440",
            "fax_number": "843-280-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY GROVE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "843-249-8440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.