NPIMap

Organization Active NPI

Medeyecare, LLC

  • Optician
  • Myrtle Beach, SC
National Provider Identifier
1831463652
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
026666224 Issued in SC
Legal business name
MEDEYECARE, LLC
Practice address
4335 Socastee Blvd
Unit a
Myrtle Beach, SC 29588
Phone
(843) 655-2299
Fax
(843) 831-0481
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Mr. Horace E Ferguson Jr., LICENSED OPTICIAN
Title
President
Phone
(843) 655-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 026666224 SC Primary

Addresses

Primary practice location

4335 Socastee Blvd
Unit a
Myrtle Beach, SC 29588

Mailing address

4335 Socastee Blvd
Unit a
Myrtle Beach, SC 29588
Phone (843) 655-2299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1831463652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 SOCASTEE BLVD",
            "address_2": "UNIT A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-655-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 SOCASTEE BLVD",
            "address_2": "UNIT A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-655-2299",
            "fax_number": "843-831-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "HORACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-655-2299",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "026666224",
            "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 Apr 26, 2012; 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.