Individual provider Active NPI

Savannah Coker, OD

  • Optometrist
  • Mount Pleasant, SC
National Provider Identifier
1710501267
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.2190 Issued in SC
Practice address
1296 Long Grove Dr
Mount Pleasant, SC 29464-9462
Phone
(256) 221-9048
NPI assigned
Jun 1, 2020
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X OPT.2190 SC Primary

Addresses

Primary practice location

1296 Long Grove Dr
Mount Pleasant, SC 29464-9462

Mailing address

1296 Long Grove Dr
Mount Pleasant, SC 29464-9462
Phone (256) 221-9048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210504002548 SC Practitioner - Optometry 4486063435 Reassigns benefits to 3 organizations
I20250912000474 AL Practitioner - Optometry 4486063435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11310 Memorial Pkwy SW
Suite G
Huntsville, AL 35803-2666

PO Box J
Raynham, MA 02767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.2190SCMDOptometrist
2190SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Plantation Eyecare Optometrist CurrentSince Apr 20, 2021 Accepting new patients
The Vision Center at Seaside Farms Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Patricia M. Fulmer, O.D., L.L.C. Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

11310 Memorial Pkwy SW
Ste G
Huntsville, AL 35803
Phone (256) 653-8847

113 Foxbank Plantation Blvd
Ste C
Moncks Corner, SC 29461
Phone (843) 761-6485

119 Foxbank Plantation Blvd
Ste A
Moncks Corner, SC 29461
Phone (843) 761-6485

1296 Long Grove Dr
Mt Pleasant, SC 29464
Phone (843) 388-6200

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1710501267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 LONG GROVE DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649462",
            "telephone_number": "256-221-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 LONG GROVE DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649462",
            "telephone_number": "256-221-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "SAVANNAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.