| Coastal Vision Care Llc | |
|
605 Saint James Ave, Goose Creek, SC 29445 | |
| (843) 863-1215 | |
| (843) 553-7335 |
| Full Name | Coastal Vision Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 605 Saint James Ave, Goose Creek, 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 |
|---|---|---|---|
| 1689777849 | NPI | - | NPPES |
| DA9726 | Medicaid | SC | |
| D09569 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | SC0956 (South Carolina) | Primary |
| Provider Name | Diane Rosalie Juras |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629026570 PECOS PAC ID: 1759416761 Enrollment ID: I20100316000706 |
| Provider Name | Wendy Lynn Corrigan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932230695 PECOS PAC ID: 8022140292 Enrollment ID: I20100723000347 |
| Provider Name | Katherine James Kegel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073602421 PECOS PAC ID: 1355475930 Enrollment ID: I20100818000457 |
| Provider Name | Erica Ryan Juras |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497284517 PECOS PAC ID: 0042585226 Enrollment ID: I20171014000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Vision Care Llc Po Box 23, Isle Of Palms, SC 29451 Ph: (843) 693-2505 | Coastal Vision Care Llc 605 Saint James Ave, Goose Creek, SC 29445 Ph: (843) 863-1215 |
Dr. Melvin B. Watsky, Optometrist Optometrist Medicare: Not Enrolled in Medicare Practice Location: 425 Redbank Rd, Goose Creek, SC 29445 Phone: 843-797-1264 Fax: 843-764-3602 | |
Dr. Kathryn Gahagan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 Red Bank Rd, Goose Creek, SC 29445 Phone: 843-797-1264 | |
Lowcountry Eye Care Of Goose Creek Optometrist Medicare: Medicare Enrolled Practice Location: 425 Red Bank Rd, Goose Creek, SC 29445 Phone: 843-797-1254 | |
Ms. Nicol L. Mayfield, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-794-6881 Fax: 843-794-6041 | |
Dr. Diane Juras, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 605 Saint James Ave, Goose Creek, SC 29445 Phone: 843-863-1215 Fax: 843-553-7335 | |
Mrs. Karen L King, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 Saint James Ave Ste F, Goose Creek, SC 29445 Phone: 843-718-2020 Fax: 843-718-1283 |