Grand Strand Vision Services, Inc.

LBN: Grand Strand Vision Services, Inc.
Grand Strand Vision Services, Inc. is an health care organization with primary practice located at 4886 Socastee Blvd , Myrtle Beach SC 29588-7245. The organization recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as the primary health care specialty. Grand Strand Vision Services, Inc. can be contacted via phone (843) 293-1555, or through Dean, Mark Tracy via phone (843) 293-1555.

Contact Information

Primary practice address
4886 Socastee Blvd Myrtle Beach SC 29588-7245
Phone: (843) 293-1555
Fax: (843) 293-8102
Website:
Map and Directions
Authorized official contact:
Name: Dean, Mark Tracy Doctor of Optometry (OD)
Phone: (843) 293-1555

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X

Profile Details

NPI number 1942226337
LBN Legal business name Grand Strand Vision Services, Inc.
DBA Doing business as
Authorized official Dean, Mark Tracy Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Oct 16th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942226337 NPPES
South Carolina MEDICAID DA9697

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