Coastal Optical Incorporated

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

COASTAL OPTICAL INCORPORATED

Practice address

1200 Highmarket St
Suite 200
Georgetown, SC 29440-3227

Phone

(843) 546-0442

Fax

(843) 546-1173

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carol L. Rateliff

Title

Office Manager

Phone

(843) 546-0442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard E. Dechamplain, M.D.

  • Ophthalmology Physician
  • Georgetown, SC
  • NPI 1154343192
  NPD (past)
• Gail M. Royal, M.D.

  • Ophthalmology Physician
  • Myrtle Beach, SC
  • NPI 1851310783
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508910977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HIGHMARKET ST",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403227",
            "telephone_number": "843-546-0442",
            "fax_number": "843-546-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHMARKET ST",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403227",
            "telephone_number": "843-546-0442",
            "fax_number": "843-546-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OPTICAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RATELIFF",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-546-0442",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9921",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Mallett Chrisman, D.O.
• Peter Anthony Ciancione Jr., CRNA
• Claire Orthopedics PA
• Coastal Eye Group, P.C.
• Coastal Eye Group, P.C.
• Shawanda L Cobb, LPC
• Charles Jacob Cohn, M.D.
• Shannon Michelle Colantuono, PA-C
• Emily Rose Coleman, PHARMD
• Malachy J Collet

• All providers in Georgetown, SC
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.