Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Shake, OD

Individual provider Optometrist · NPI 1457707911

Ryan Shake, OD is an Optometry in Myrtle Beach, South Carolina. Graduated from International American University at Puerto Rico - School of Optometry in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
12
Trained at
International American University at Puerto Rico - School of Optometry
Licensed in
SC
In the registry since
2016
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2000 Coastal Grand Cir
Myrtle Beach, SC 29577-9798
Phone: (843) 444-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence SC1934 (SC)

Record details

NPI number1457707911
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 13, 2016
Last updated in NPPESMay 13, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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