TIDAL EYE CENTER LLC
NPI 1689455461
Optometrist in Myrtle Beach, SC
NPI Status: Active since October 09, 2023
Contact Information
4221 MAYFAIR ST
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 448-6630
Fax: (843) 448-5567
- Organization
- Optometrist
- Accepts Insurance
About TIDAL EYE CENTER LLC
This page provides the complete NPI Profile along with additional information for Tidal Eye Center Llc, a provider established in Myrtle Beach, South Carolina operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1689455461 assigned on October 2023. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sean Cronauer Od (Optometrist)
- NPI
- 1689455461
- Provider Name
- TIDAL EYE CENTER LLC
- Entity Type
- Organization
- Location Address
- 4221 MAYFAIR ST MYRTLE BEACH, SC 29577
- Location Phone
- (843) 448-6630
- Location Fax
- (843) 448-5567
- Mailing Address
- 4221 MAYFAIR ST MYRTLE BEACH, SC 29577
- Mailing Phone
- (843) 448-6630
- Mailing Fax
- (843) 448-5567
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2023
- Last Update Date
- 04-08-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 4 | 5 | 5 | 4 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 8 | 5 | 10 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 8 + 5 + 1 + 0 + 4 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1689455461 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235146531 | DR. FRANKLIN NEAL SMITH OD Individual | Optometrist | 4221 MAYFAIR ST MYRTLE BEACH, SC 29577 (843) 448-6630 |
| 1518138742 | MS. TAMARA A WILLARD LPC Individual | Counselor (Mental Health) | 4221 MAYFAIR ST SUITE 207 MYRTLE BEACH, SC 29577 (843) 360-9491 |
| 1588995799 | LAVONDA ROCHELLE KNOX LPC Individual | Counselor (Mental Health) | 4221 MAYFAIR ST MYRTLE BEACH, SC 29577 (843) 455-0558 |
| 1225392442 | A NEW DIRECTION COUNSELING LLC Organization | Counselor (Professional) | 4221 MAYFAIR ST MYRTLE BEACH, SC 29577 (843) 424-5855 |
| 1386980910 | ELIZABETH NIXON, LPC Organization | Counselor (Mental Health) | 4221 MAYFAIR ST MYRTLE BEACH, SC 29577 (843) 455-2258 |
| 1215462742 | TAMARA WILLARD Organization | Community/Behavioral Health | 4221 MAYFAIR ST MYRTLE BEACH, SC 29577 (843) 360-9491 |
| 1770144651 | SEAN JAMES CRONAUER OD Individual | Optometrist | 4221 MAYFAIR ST MYRTLE BEACH, SC 29577 (843) 448-6630 |
| 1033737994 | HAYDEE SENCION Individual | Counselor (Professional) | 4221 MAYFAIR ST MYRTLE BEACH, SC 29577 (843) 999-0373 |
| 1255166237 | MRS. AMY KATHRYN HESS LPCA, NCC Individual | Counselor (Mental Health) | 4221 MAYFAIR ST MYRTLE BEACH, SC 29577 (843) 968-2364 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689455461, enumerated in the NPI registry as an "organization" on October 09, 2023
The provider is located at 4221 Mayfair St Myrtle Beach, Sc 29577 and the phone number is (843) 448-6630
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 09, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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