DR. SHAWN F RILEY MD NPI 1003873894

Ophthalmology in Myrtle Beach, SC

About SHAWN RILEY

Shawn Riley is a provider in Myrtle Beach, SC with more than 30 years of experience. The NPI number assigned to this provider is 1003873894. The practitioner's primary taxonomy code is Ophthalmology (207W00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Shawn Riley is registered with Medicare and accepts claims assignment.

NPI1003873894 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. SHAWN F RILEY MD
Provider Location Address1115 48TH AVE N SUITE 121 MYRTLE BEACH, SC 29577 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3781 HOPSEWEE DR PLANTATION POINT MYRTLE BEACH, SC 29577 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year1988
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-27-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-31-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. SHAWN F RILEY MD
1115 48TH AVE N
SUITE 121
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 449-6478
Fax: (843) 497-8571
Get Directions

Mailing Address

DR. SHAWN F RILEY MD
3781 HOPSEWEE DR
PLANTATION POINT
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 444-9224

Primary Taxonomy

Taxonomy Code207W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.17005
License StateSC
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207W00000XAllopathic & Osteopathic PhysiciansOphthalmology9300575NCNo

Taxonomy Description: an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2337591MEDICARE PIN (08)NC
F43253MEDICARE UPIN (02)SC

Map Location


DR. SHAWN F RILEY MD address is 1115 48TH AVE N SUITE 121 MYRTLE BEACH, SC 29577