Individual provider Active NPI

Kurtis Caugh, OD

  • Optometrist
  • North Myrtle Beach, SC
National Provider Identifier
1386759868
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1184 Issued in SC
Practice address
550 Highway 17 North
North Myrtle Beach, SC 29582-2904
Phone
(843) 281-8181
Fax
(843) 692-3094
NPI assigned
Aug 21, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1184 SC Primary

Addresses

Primary practice location

550 Highway 17 North
North Myrtle Beach, SC 29582-2904

Mailing address

P O Box 761
Little River, SC 29566-0761
Phone (843) 281-8181

Other identifiers 1

IdentifierTypeStateIssuer
D11841MedicaidSC

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
I20050510000882 SC Practitioner - Optometry 1254371131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Hwy 17 N
North Myrtle Beach, SC 29582-2904

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caugh Eye Care Optometrist CurrentSince Feb 1, 2003 Accepting new patients

Locations

550 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 281-8073

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1386759868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 761",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660761",
            "telephone_number": "843-281-8181",
            "fax_number": "843-281-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HIGHWAY 17 NORTH",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822904",
            "telephone_number": "843-281-8181",
            "fax_number": "843-692-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGH",
        "first_name": "KURTIS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D11841",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.