Healthcare Provider Details

I. General information

NPI: 1336547694
Provider Name (Legal Business Name): PATRICK VUICH H.A.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 DICK POND RD UNIT B
MYRTLE BEACH SC
29588-7286
US

IV. Provider business mailing address

14361 OCEAN HWY STE 313
PAWLEYS ISLAND SC
29585-4806
US

V. Phone/Fax

Practice location:
  • Phone: 843-294-1900
  • Fax:
Mailing address:
  • Phone: 843-256-3544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number03215
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS-0579
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: