Matthew Joshua Cravin, LDO, ABOC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1069 Issued in SC

Practice address

350 Seaboard St
Myrtle Beach, SC 29577-9627

Phone

(843) 839-2233

Fax

(843) 839-0137

NPI assigned

Sep 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• MGB Eyes, Inc.

  • Eyewear Supplier
  • Myrtle Beach, SC
  • NPI 1013571850

  Optician

  NPD (past)

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1629629407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SEABOARD ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779627",
            "telephone_number": "843-839-2233",
            "fax_number": "843-839-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SEABOARD ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779627",
            "telephone_number": "843-839-2233",
            "fax_number": "843-839-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVIN",
        "first_name": "MATTHEW",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "LDO, ABOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbpearle8509@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 Seaboard St",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295779627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lili Coyle
• Kelly Coyman
• Daisymae Coyne
• Kristin Cozene, LPC-A
• Deborah Craig
• Jennifer Sue Crawford, PH.D.
• Laura L Crawford, LISW-CP
• Rebecca Thigpen Crawford, OD
• Alexis Louise Crawley, FNP
• Anthony Crawley, LPC-A

• Optician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.