Coastal Optical Incorporated

LBN: Coastal Optical Incorporated
Coastal Optical Incorporated is an health care organization with primary practice located at 1200 Highmarket St Suite 200, Georgetown SC 29440-3227. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Coastal Optical Incorporated can be contacted via phone (843) 546-0442, or through Rateliff, Carol L. via phone (843) 546-0442.

Contact Information

Primary practice address
1200 Highmarket St Suite 200 Georgetown SC 29440-3227
Phone: (843) 546-0442
Fax: (843) 546-1173
Website:
Map and Directions
Authorized official contact:
Name: Rateliff, Carol L.
Phone: (843) 546-0442

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X South Carolina

Profile Details

NPI number 1508910977
LBN Legal business name Coastal Optical Incorporated
DBA Doing business as
Authorized official Rateliff, Carol L.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508910977 NPPES
South Carolina MEDICAID DA9921

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