Provider Demographics
NPI:1720211543
Name:MERHI EYE CLINIC
Entity Type:Organization
Organization Name:MERHI EYE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERHI OD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:843-467-2060
Mailing Address - Street 1:PO BOX 30819
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-0014
Mailing Address - Country:US
Mailing Address - Phone:843-467-2060
Mailing Address - Fax:843-692-0409
Practice Address - Street 1:10820 NORTH KINGS HIGHWAY
Practice Address - Street 2:SUITE 1
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572
Practice Address - Country:US
Practice Address - Phone:843-467-2060
Practice Address - Fax:843-692-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1452152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD14526Medicaid
SCAA24670Medicare UPIN
SCD14526Medicaid