Coastal Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

694 Issued in SC

Legal business name

COASTAL VISION CENTER

Practice address

1651 Glenns Bay Rd
Surfside Beach, SC 29575-4836

Phone

(843) 650-2400

Fax

(843) 650-2525

NPI assigned

Jun 1, 2005

Last updated

Jan 2, 2008By 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

Melinda Poston

Title

Treas

Phone

(843) 650-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Jerd Watts Poston, O.D.

  • Optometrist
  • Surfside Beach, SC
  • NPI 1720080971
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1962404111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15790",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295875790",
            "telephone_number": "843-650-2400",
            "fax_number": "843-650-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754836",
            "telephone_number": "843-650-2400",
            "fax_number": "843-650-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "POSTON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "TREAS",
        "authorized_official_telephone_number": "843-650-2400"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE4961",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9945",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Calm Psychiatry Associates LLC
• Coastal Carolina Behavioral Health, Inc.
• Coastal Carolina Behavioral Health, Inc.
• Coastal Home Therapy LLC (Coastal Home Therapy)
• Coastal Podiatry Associates PA
• James M Coker, O.D
• Veronica Patricia Collings, D.C.
• Benjamin Hampton Collins, DMD
• Complete Care Medical Group LLC
• Comprehensive Physical Therapy & Rehab

• Optometrist in Surfside Beach, SC
• Providers in Surfside 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 Jan 2, 2008; 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.