Coastal Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

694 Issued in SC

Legal business name

COASTAL VISION CENTER INC

Doing business as

Pawleys Eye Associates

Practice address

10805 Ocean Hwy
Pawleys Island, SC 29585-6512

Phone

(843) 979-2400

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Melinda M Poston

Title

VP

Phone

(843) 650-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pawleys Eye Associates Doing business as

Locations

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1407819956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3845",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295853845",
            "telephone_number": "843-979-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 OCEAN HWY",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856512",
            "telephone_number": "843-979-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "POSTON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "843-650-2400"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9693",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pawleys Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.