COASTAL VISION CARE LLC
NPI 1689777849
Optometrist in Goose Creek, SC
About Coastal Vision Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL VISION CARE LLC (NPI 1689777849) is a healthcare organization registered as an optometrist in Goose Creek, South Carolina and active in the NPI registry since September 2006. The organization lists Diane Rosalie Juras, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastal Vision Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Vision Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Coastal Vision Care LLC's NPI number?
The NPI number for Coastal Vision Care LLC is 1689777849. It was assigned to this organization in the NPPES registry on September 6, 2006.
Where is Coastal Vision Care LLC located?
Coastal Vision Care LLC is located at 605 Saint James Ave, Goose Creek, SC 29445. The listed phone number is (843) 863-1215.
What is Coastal Vision Care LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Coastal Vision Care LLC enrolled in Medicare?
Yes. Coastal Vision Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Vision Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Coastal Vision Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Coastal Vision Care LLC accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of South Carolina and BlueCross BlueShield of Tennessee and 1 other insurer list Coastal Vision Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Coastal Vision Care LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Coastal Vision Care Llc · NPI 1689777849
Optometrist organization in Goose Creek, South Carolina. Organization record, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1689777849 (Entity type: Organization)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Diane Juras, OWNER
## Practice location
- **Address:** 605 SAINT JAMES AVE, Goose Creek, SC 29445
- **Phone:** (843) 863-1215 · **Fax:** (843) 553-7335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid DA9726 (SC); Medicaid D09569 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1689777849) · Data from the CMS NPPES public registry.