COASTAL EYE MANAGEMENT LLC
NPI 1760979066
Clinic/Center in Murrells Inlet, SC

Active since April 23, 2018
12060 HIGHWAY 17 BYP UNIT B, MURRELLS INLET, SC 29576(843) 357-2020 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Apr 23, 2018 (2 updates tracked since 2018).

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

NPI1760979066
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOASTAL EYE MANAGEMENT LLC
Location Address12060 HIGHWAY 17 BYP UNIT BMurrells Inlet, SC 29576-9401
Mailing Address1255 Links RdMyrtle Beach, SC 29575-5810 · (843) 357-2020
Organization SubpartNo
Authorized OfficialRyan ShakeDoctor · (843) 357-2020
Enumeration DateApril 23, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1760979066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in SC · 1934
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

12060 HIGHWAY 17 BYP UNIT B, Murrells Inlet, SC 29576

Other Identifiers 1

Medicaid1457707911SC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
12060 HIGHWAY 17 BYP UNIT B
MURRELLS INLET, SC 29576

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760979066, enumerated as an "organization" on April 23, 2018.

The provider is located at 12060 HIGHWAY 17 BYP UNIT B MURRELLS INLET, SC 29576 and the phone number is (843) 357-2020.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.