Organization Active NPI

Advanced Optometry Kerry M Reeves OD SC

  • Optometrist
  • Myrtle Beach, SC
National Provider Identifier
1619834256
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADVANCED OPTOMETRY KERRY M REEVES OD SC
Practice address
2000 Coastal Grand Cir Ste 515
Suite 515
Myrtle Beach, SC 29577-9605
Phone
(834) 830-4678
NPI assigned
Jan 6, 2026
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dr. Kerry Reeves, ODNPI 1003818964
Title
Optometrist
Phone
(843) 839-4678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2000 Coastal Grand Cir Ste 515
Suite 515
Myrtle Beach, SC 29577-9605

Mailing address

2000 Coastal Grand Cir Ste 515
Myrtle Beach, SC 29577-9605
Phone (834) 830-4678

National Provider Directory

National Provider Directory

Locations

2000 Coastal Grand Cir
Ste 515
Myrtle Beach, SC 29577
Phone (834) 830-4678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1619834256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 COASTAL GRAND CIR STE 515",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779605",
            "telephone_number": "834-830-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 COASTAL GRAND CIR STE 515",
            "address_2": "SUITE 515",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779605",
            "telephone_number": "834-830-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OPTOMETRY KERRY M REEVES OD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "843-839-4678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.