Individual provider Active NPI

Frank K. Sloan Jr., M.D.

  • Ophthalmology Physician
  • Myrtle Beach, SC
National Provider Identifier
1831119262
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11134 Issued in SC
Practice address
401 79TH Ave N
Myrtle Beach, SC 29572-4310
Phone
(843) 449-7115
Fax
(843) 497-2960
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11134 SC Primary

Addresses

Primary practice location

401 79TH Ave N
Myrtle Beach, SC 29572-4310

Mailing address

401 79TH Ave N
Myrtle Beach, SC 29572-4310
Phone (843) 449-7115

Other identifiers 1

IdentifierTypeStateIssuer
111346MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000773 SC Practitioner - Ophthalmology 5193617462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as group
Quality
93.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11134SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Jul 1, 1994 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology Past Accepting new patients

Locations

90 Cedar Light Ln
Little River, SC 29566
Phone (843) 280-8779

150 Village Center Blvd
Myrtle Beach, SC 29579
Phone (843) 449-7115

401 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 449-7115

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1831119262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 79TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724310",
            "telephone_number": "843-449-7115",
            "fax_number": "843-497-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 79TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724310",
            "telephone_number": "843-449-7115",
            "fax_number": "843-497-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "FRANK",
        "middle_name": "K.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "11134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111346",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.