NPIMap

Organization Active NPI

Coastal Eye Group, PC

  • Ophthalmology Physician
  • Little River, SC
National Provider Identifier
1841344710
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COASTAL EYE GROUP, PC
Practice address
90 Cedar Light LN
Little River, SC 29566-6978
Phone
(843) 280-8779
Fax
(843) 280-6669
NPI assigned
Jan 22, 2007
Last updated
Nov 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Frank K Sloan Jr., MDNPI 1831119262
Title
MD
Phone
(843) 449-7115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

90 Cedar Light LN
Little River, SC 29566-6978

Mailing address

90 Cedar Light LN
Little River, SC 29566-6978
Phone (843) 280-8779

Other identifiers 2

IdentifierTypeStateIssuer
GP3046MedicaidSC
89013F4MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000418 SC Part B Supplier - Clinic/Group Practice 2466434717 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Little River, SC; Myrtle Beach, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Coastal Eye Group PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1841344710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CEDAR LIGHT LN",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666978",
            "telephone_number": "843-280-8779",
            "fax_number": "843-280-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CEDAR LIGHT LN",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666978",
            "telephone_number": "843-280-8779",
            "fax_number": "843-280-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "843-449-7115",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3046",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013F4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.