Socastee Eye Clinic Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

755 Issued in SC

Legal business name

SOCASTEE EYE CLINIC INC

Practice address

4885 Socastee Blvd
Myrtle Beach, SC 29588-7245

Phone

(843) 293-8101

Fax

(843) 293-8102

NPI assigned

Jan 14, 2008

Last updated

Aug 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Neal Williams Jr.NPI 1417933078

Title

Optometrist

Phone

(843) 293-8101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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.

• Robert Neal Williams Jr., O.D.

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1417933078
  Medicare reassignment Care Compare group Authorized official
• Ryan Neal Williams, OD

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1750677951
  Medicare reassignment Care Compare group NPD
• Mark Tracy Dean, OD

  • Vision Therapy Optometrist
  • Myrtle Beach, SC
  • NPI 1164491718
  Medicare reassignment NPD

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1841476330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 SOCASTEE BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887245",
            "telephone_number": "843-293-8101",
            "fax_number": "843-293-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 SOCASTEE BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887245",
            "telephone_number": "843-293-8101",
            "fax_number": "843-293-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCASTEE EYE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "843-293-8101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D00755",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele P Smrekar, CAP, IC RC
• Richard S Smyers, CRNA
• SNH SC Tenant LLC (Myrtle Beach Manor)
• John Douglas Snively, CRNA
• Kelly Waters Snow, RD, LDN
• Solid Foundations, LLC
• Solutions Counseling
• Sonoran Concepts, LLC
• Mackenzie Hope Sontz-Morrison, NREMT
• Elizabeth Soper, MD

• Optometrist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.