COASTAL EYE MANAGEMENT LLC
NPI 1760979066
Clinic/Center in Murrells Inlet, SC
About Coastal Eye Management Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL EYE MANAGEMENT LLC (NPI 1760979066) is a healthcare organization registered as a clinic/center in Murrells Inlet, South Carolina and active in the NPI registry since April 2018. The organization lists Ryan Shake, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Eye Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Eye Management LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Eye Management LLC's NPI number?
The NPI number for Coastal Eye Management LLC is 1760979066. It was assigned to this organization in the NPPES registry on April 23, 2018.
Where is Coastal Eye Management LLC located?
Coastal Eye Management LLC is located at 12060 Highway 17 Byp Unit B, Murrells Inlet, SC 29576. The listed phone number is (843) 357-2020.
What is Coastal Eye Management LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Coastal Eye Management LLC enrolled in Medicare?
Yes. Coastal Eye Management LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Eye Management LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Coastal Eye Management 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coastal Eye Management LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 Eye Management Llc · NPI 1760979066
Clinic/Center organization in Murrells Inlet, South Carolina. Organization record, active in the CMS NPPES registry since April 23, 2018.
## Identity
- **NPI:** 1760979066 (Entity type: Organization)
- **Enumerated:** April 23, 2018
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Shake, DOCTOR
## Practice location
- **Address:** 12060 HIGHWAY 17 BYP UNIT B, Murrells Inlet, SC 29576-9401
- **Phone:** (843) 357-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2018
- **Other identifiers:** Medicaid 1457707911 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1760979066) · Data from the CMS NPPES public registry.