Organization
COASTAL VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA POSTON (TREAS)
(843) 650-2400
Entity
Organization
Contact information
Practice address
1651 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 650-2400
(843) 650-2525
Mailing address
PO BOX 15790, SURFSIDE BEACH, SC 29587-5790
(843) 650-2400
(843) 650-2525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
694
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9945
—
SC
01
—
DE4961
RR MEDICARE
SC
Enumeration date
06/01/2005
Last updated
01/02/2008
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