Coastal Eye Management Llc | |
12060 Highway 17 Byp Unit B Murrells Inlet SC 29576-9401 | |
(843) 357-2020 | |
Not Available |
Full Name | Coastal Eye Management Llc |
---|---|
Speciality | Clinic/Center |
Location | 12060 Highway 17 Byp Unit B, Murrells Inlet, South Carolina |
Authorized Official Name and Position | Ryan Shake (DOCTOR) |
Authorized Official Contact | 8433572020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Coastal Eye Management Llc 1255 Links Rd Myrtle Beach SC 29575-5810 Ph: (843) 357-2020 | Coastal Eye Management Llc 12060 Highway 17 Byp Unit B Murrells Inlet SC 29576-9401 Ph: (843) 357-2020 |
NPI Number | 1760979066 |
---|---|
Provider Enumeration Date | 04/23/2018 |
Last Update Date | 06/16/2018 |
Medicare PECOS PAC ID | 2365797461 |
---|---|
Medicare Enrollment ID | O20180613001706 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760979066 | NPI | - | NPPES |
1457707911 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1934 (South Carolina) | Primary |
Provider Name | Ryan R Shake |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457707911 PECOS PAC ID: 5698061596 Enrollment ID: I20160831003084 |
Strand Regional Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4367 Riverwood Dr, Suite 120, Murrells Inlet, SC 29576 Phone: 843-357-8008 Fax: 843-357-3819 | |
Diabetes Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11891 Plaza Drive, Murrells Inlet, SC 29576 Phone: 843-353-0288 Fax: 843-357-9770 | |
Coastal House Calls, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 671 Jamestown Dr, Suite 203, Murrells Inlet, SC 29576 Phone: 843-631-4656 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Inlet Square Dr, Murrells Inlet, SC 29576 Phone: 843-651-4111 | |
T J Reardon Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 671 Jamestown Dr, Ste 202a, Murrells Inlet, SC 29576 Phone: 864-237-1184 |