Organization
SPECIALTY EYE CARE OF THE CAROLINAS, PC
Active
Organization
SPECIALTY EYE CARE OF THE CAROLINAS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN F. RILEY MD (PRESIDENT)
(910) 754-5434
Entity
Organization
Contact information
Practice address
15 MEDICAL CENTER DR, SUPPLY, NC 28462-3350
(910) 754-5437
(910) 754-5443
Mailing address
1115 48TH AVE N STE 121, MYRTLE BEACH, SC 29577-5420
(843) 449-6478
(843) 497-8571
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9300575
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1137Y
BCBS
NC
05
—
891137Y
—
NC
Enumeration date
10/31/2007
Last updated
10/31/2007
Update your record
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