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Coastal Vision Care LLC

NPI 1689777849ActiveOrganization· Optometrist· Goose Creek, SC

Optometrist in Goose Creek, South Carolina, registered in NPPES in September 2006. The authorized official on file is Diane Rosalie Juras, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1689777849
StatusActive
Entity typeOrganization
NPI issuedSep 6, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XSC0956SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (SC)

Medicare sources and data years

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