institution
Coastal Optical, Incorporated
NPI 1689728016

Coastal Optical, Incorporated is a Optician based in Myrtle Beach, SC and is specialized in Optician. Coastal Optical, Incorporated practices in Myrtle Beach, SC. The NPI Number for Coastal Optical, Incorporated is 1689728016 and holds a License No. (South Carolina).

The current practice location address for Coastal Optical, Incorporated is 401 79Th Ave N, Myrtle Beach, SC and can be reached out via phone at 843-449-6951 and via fax at 843-497-2960. You can also correspond with Coastal Optical, Incorporated through the mailing address at 401 79TH AVE N, MYRTLE BEACH, SC - 29572-4310 (mailing address contact number: 843-449-6951).

Location: 401 79Th Ave N, Myrtle Beach, SC, 29572-4310
institution
Provider Profile Details
NPI Number
1689728016
Provider Name
Coastal Optical, Incorporated
Credential
Provider Entity Type
Organization
Address
401 79Th Ave N, Myrtle Beach, SC, 29572-4310
Phone Number
843-449-6951
Fax Number
843-497-2960
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0851690001 01 SC MC PIN NUMBER
institution
Provider Business Practice Location Address Details
Address
401 79Th Ave N
City
State
Zip
29572-4310
Phone Number
843-449-6951
Fax Number
843-497-2960
person
Provider Business Mailing Address Details
Address
401 79Th Ave N
City
State
Zip
29572-4310
Phone Number
843-449-6951
Fax Number
843-497-2960
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
(South Carolina)
Definition
Definition to come...
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