Michael Vaughan Rynne, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

6967 Issued in ME

Practice address

1126 Lampwick LN
Murrells Inlet, SC 29576-7226

Phone

(910) 322-5894

NPI assigned

Jul 10, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902830268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 LAMPWICK LANE",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "910-322-5894",
            "fax_number": "910-822-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 LAMPWICK LN",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767226",
            "telephone_number": "910-322-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNNE",
        "first_name": "MICHAEL",
        "middle_name": "VAUGHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "36238",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "6967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Roussos
• Betsy Auld Rowell, PTA
• Todd Richard Rowland, M.D.
• Jennifer Taylor Rozak, FNP-BC
• Sarah Michele Russell, M.S., BCBA
• Safeguard Medical Alarms, Inc.
• Yusuf Michael Saleeby, MD
• Kimberly Saliba
• Jennifer Lee Saltzman
• Pamela Ann Sanabria, M.ED., LPC, NCC

• Ophthalmology Physician in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.