Individual provider Active NPI

Rebecca Thigpen Crawford, OD

  • Optometrist
  • Myrtle Beach, SC
National Provider Identifier
1215808050
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2557 Issued in SC
Practice address
10820 Kings Rd
Myrtle Beach, SC 29572-6070
Phone
(843) 758-4482
NPI assigned
Sep 15, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2557 SC Primary

Addresses

Primary practice location

10820 Kings Rd
Myrtle Beach, SC 29572-6070

Mailing address

1305 Cherokee St
Conway, SC 29527-4801
Phone (843) 503-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106000860 SC Practitioner - Optometry 8820588080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergelt Optometric LLCGroup PAC ID 5092007666, 15 clinicians
Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

10820 Kings Rd
Myrtle Beach, SC 29572-6070
Phone (843) 758-4482

3420 Broad St
Loris, SC 29569-3002
Phone (842) 756-6919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2557SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bergelt Optometric LLC Optometrist CurrentSince Oct 15, 2025 Accepting new patients
Eye Care Associates of SC LLC Optometrist CurrentSince Mar 9, 2026 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients

Locations

2709 Church St
Ste A
Conway, SC 29526
Phone (843) 365-0301

2138 W Palmetto St
Florence, SC 29501
Phone (843) 662-1989

2672 David H McLeod Blvd
Florence, SC 29501
Phone (843) 773-2758

1334 N Fraser St
Georgetown, SC 29440
Phone (843) 932-2225

3420 Broad St
Loris, SC 29569
Phone (842) 756-6919

966 Houston Northcutt Blvd
Ste D
Mt Pleasant, SC 29464
Phone (843) 881-2492

545 Garden City Connector
Murrells Inlet, SC 29576
Phone (843) 357-0382

10820 Kings Rd
Myrtle Beach, SC 29572
Phone (843) 449-0508

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1215808050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CHEROKEE ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295274801",
            "telephone_number": "843-503-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 KINGS RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726070",
            "telephone_number": "843-758-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "REBECCA",
        "middle_name": "THIGPEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.