Midlands Eye Associates, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

1237 Issued in SC

Legal business name

MIDLANDS EYE ASSOCIATES, LLC

Practice address

470 Town Center PL Ste 5
Columbia, SC 29229-7957

Phone

(843) 424-2553

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL GRAND EYE ASSOCIATES LTD. CO.As reported in NPPES

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

Authorized official

Name

Dr. Lawrence Raymond Custer, O.D.

Title

Managing Optometrist

Phone

(843) 424-2553

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coastal Grand Eye Associates LTD. Co.

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1780728824
  NPPES parent name

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1699182436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 SHOREWARD DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795146",
            "telephone_number": "843-424-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 TOWN CENTER PL STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297957",
            "telephone_number": "843-424-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS EYE ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL GRAND EYE ASSOCIATES LTD. CO.",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "CUSTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "843-424-2553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "SC",
            "license": "1237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midlands Dental LLC
• Midlands Dental Partnership
• Midlands Dental, PA
• Midlands Family Chiropractic, LLC
• Midlands Gastroenterology Associates
• Midlands Gastroenterology Associates
• Midlands Gastroenterology Associates
• Midlands Health Center

• Point of Service in Columbia, SC
• Providers in Columbia, SC by specialty
• Point of Service in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.