Organization Active NPI

Caugh Eye Care

  • Optometrist
  • North Myrtle Beach, SC
National Provider Identifier
1881738862
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11841 Issued in SC
Legal business name
CAUGH EYE CARE
Practice address
550 Highway 17 N
North Myrtle Beach, SC 29582-2904
Phone
(843) 281-8181
Fax
(843) 281-9009
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Kurtis C Caugh, ODNPI 1386759868
Title
Owner
Phone
(843) 281-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11841 SC Primary

Addresses

Primary practice location

550 Highway 17 N
North Myrtle Beach, SC 29582-2904

Mailing address

PO Box 761
Little River, SC 29566-0761
Phone (843) 281-8181

Other identifiers 1

IdentifierTypeStateIssuer
DA9738MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130128000561 SC Part B Supplier - Clinic/Group Practice 5991959900 Receives reassigned benefits from 1 practitioner
Practice locations: North Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

550 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 281-8073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1881738862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660761",
            "telephone_number": "843-281-8181",
            "fax_number": "843-281-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822904",
            "telephone_number": "843-281-8181",
            "fax_number": "843-281-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAUGH EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "CAUGH",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-281-8181",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "11841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9738",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.