| Coastal Grand Eye Associates Ltd. Co. | |
|
1512 Coastal Grand Circle, C 330, Myrtle Beach, SC 29577-9779 | |
| (843) 444-0090 | |
| (843) 444-0377 |
| Full Name | Coastal Grand Eye Associates Ltd. Co. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1512 Coastal Grand Circle, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780728824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | SC1237 (South Carolina) | Primary |
| Provider Name | Lawrence Raymond Custer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740406214 PECOS PAC ID: 5193705424 Enrollment ID: I20040726000581 |
| Provider Name | Meghan Marie Loher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962884684 PECOS PAC ID: 1951616523 Enrollment ID: I20150812007378 |
| Provider Name | Stacey A Krings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871154757 PECOS PAC ID: 5890120513 Enrollment ID: I20200127000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Grand Eye Associates Ltd. Co. Po Box 50864, Myrtle Beach, SC 29579-0015 Ph: (843) 444-0090 | Coastal Grand Eye Associates Ltd. Co. 1512 Coastal Grand Circle, C 330, Myrtle Beach, SC 29577-9779 Ph: (843) 444-0090 |
Dr. Tammy T Tully, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 109 Finnegan Ct, Myrtle Beach, SC 29579 Phone: 843-903-0949 Fax: 843-903-1101 | |
Jason Siegmund, OD Optometrist Medicare: Medicare Enrolled Practice Location: 540 Seaboard St, Myrtle Beach, SC 29577 Phone: 843-626-6210 Fax: 843-692-3094 | |
Allouch Optometric, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2703 N Kings Hwy, Myrtle Beach, SC 29577 Phone: 843-448-1596 Fax: 843-448-4793 | |
Dr. Barbara Horn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 48th Avenue N., #101, Myrtle Beach, SC 29577 Phone: 586-484-8448 Fax: 843-488-9659 | |
Dr. Mark Tracy Dean, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4886 Socastee Blvd, Myrtle Beach, SC 29588 Phone: 843-293-1555 | |
Distinctive Eyewear Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Moser Dr, The Market Common, Myrtle Beach, SC 29577 Phone: 843-213-1201 | |
Dr. Franklin Neal Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4221 Mayfair St, Myrtle Beach, SC 29577 Phone: 843-448-6630 Fax: 843-448-5567 |