Dr Lawrence Raymond Custer, OD | |
1512 Coastal Grand Cir, C330, Myrtle Beach, SC 29577-0015 | |
(843) 444-0090 | |
(843) 444-0377 |
Full Name | Dr Lawrence Raymond Custer |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1512 Coastal Grand Cir, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740406214 | NPI | - | NPPES |
SC1237 | Other | SC | EYEMED VISION CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | SC1237 (South Carolina) | Primary |
Provider Name | Coastal Grand Eye Associates Ltd Co |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780728824 PECOS PAC ID: 2668452988 Enrollment ID: O20040726000556 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence Raymond Custer, OD Po Box 50864, Myrtle Beach, SC 29579-0015 Ph: (843) 444-0090 | Dr Lawrence Raymond Custer, OD 1512 Coastal Grand Cir, C330, Myrtle Beach, SC 29577-0015 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 |