Individual provider Active NPI

Erica Ryan Juras, OD

  • Optometrist
  • Charleston, SC
National Provider Identifier
1497284517
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1991 Issued in SC
Practice address
3951 W Ashley Cir
Charleston, SC 29414-9156
Phone
(843) 718-4131
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1991 SC 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) 926-5079

Other practice location 1

1481 US-17
Mount Pleasant, SC 29464
Phone (843) 216-0044

Other practice location 2

605 Saint James Ave
Goose Creek, SC 29445-2758
Phone (843) 863-1215

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
I20171014000438 SC Practitioner - Optometry 0042585226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Coastal Vision Care LLCGroup PAC ID 6103951116, 2 clinicians

Practice addresses (Care Compare)

3951 W Ashley Cir
Charleston, SC 29414-9156
Phone (843) 718-4131

605 St James Ave
Goose Creek, SC 29445
Phone (843) 863-1215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1991SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Erica Juras OD, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Coastal Vision Care LLC Optometrist CurrentSince Aug 1, 2017 Accepting new patients

Locations

3951 W Ashley Cir
Charleston, SC 29414
Phone (843) 718-4131

605 Saint James Ave
Goose Creek, SC 29445
Phone (843) 553-3185

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1497284517",
    "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": "843-926-5079"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1481 US-17",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "29464",
            "country_code": "US",
            "telephone_number": "843-216-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Saint James Ave",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294452758",
            "country_code": "US",
            "telephone_number": "843-863-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURAS",
        "first_name": "ERICA",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-10-18",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.