COASTAL EYE CLINIC, PA (NPI# 1013921121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013921121 |
| Entity Type | Organization |
| Organization Name | COASTAL EYE CLINIC, PA |
| Other Organization Name | COASTAL EYE CLINIC OPTICAL |
| Practice Address |
802 Mccarthy Blvd New Bern NC 28562-5236 |
| Practice Telephone | 2526376543 |
| Practice Fax Number | 2526379580 |
| Mailing Telephone | 2526376543 |
| Mailing Fax Number | 2526379580 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | JAMES K. CHANCE (PHYSICIAN) |
| Authorized Official Telephone | 2526334183 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL EYE CLINIC, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
682 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8802158 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Eye Clinic Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184632093 | Coastal Eye Clinic, Pa | Technician/Technologist | 3504 Bridges St, Morehead City, NC 28557-2912 | 2006-08-04 |
| 1255355814 | Coastal Eye Clinic, Pa | Optometrist | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| Street Address |
802 MCCARTHY BLVD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902231640 | Jordan Ridgeway | Optometrist | 802 Mccarthy Blvd, New Bern, NC 28562 | 2013-09-12 |
| 1780865717 | Michele Lea Scott | Ophthalmology | 802 Mccarthy Blvd, Coastal Eye Clinic, New Bern, NC 28562 | 2007-11-19 |
| 1710172507 | Cara Dian Hamm | Optometrist | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2007-09-13 |
| 1811911316 | Dean Palanca Ouano | Ophthalmology | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| 1992719009 | James Kenneth Chance | Ophthalmology | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| 1255355814 | Coastal Eye Clinic, Pa | Optometrist | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| 1548284037 | Bettina Bass Meekins | Ophthalmology | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386768190 | Kevin Guilfoyle | Technician/Technologist | 2061 S Glenburnie Rd, New Bern, NC 28562-5228 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027603 | Sharna Michelle Jones | Technician/Technologist | 526 Queens Creek Rd, Hubert, NC 28539-4188 | 2019-08-06 |
| 1467006536 | Timothy Jerone Turner | Technician/Technologist | 5809 Hillcrest Cir, Indian Trail, NC 28079-8652 | 2019-07-28 |
| 1215491782 | National Vision Inc | Technician/Technologist | 5343 South Blvd, Charlotte, NC 28217-4117 | 2019-01-29 |
| 1619431723 | L & J Boyd Enterprises, LLC | Technician/Technologist | 390 Number Nine Road, Fairview, NC 28730 | 2019-01-23 |
| 1881167807 | National Vision Inc | Technician/Technologist | 4434 Fayetteville Rd Ste 11, Raleigh, NC 27603-3612 | 2019-01-03 |
| 1750857413 | National Vision Inc | Technician/Technologist | 1602 S Stratford Rd Ste 120, Winston Salem, NC 27103-2924 | 2018-10-22 |
| 1508331448 | National Vision Inc | Technician/Technologist | 1216 Bridford Pkwy Ste Qands, Greensboro, NC 27407-2696 | 2018-10-08 |
| 1962997627 | National Vision, Inc. | Technician/Technologist | 591 River Hwy Ste P, Mooresville, NC 28117-6979 | 2018-06-26 |
| 1811498793 | National Vision, Inc. | Technician/Technologist | 2117 N Main St, High Point, NC 27262-7700 | 2018-02-26 |
| 1487165833 | Curtis Markee Threatt | Technician/Technologist | 2700 Reynolda Rd Apt 1302, Winston Salem, NC 27106-3847 | 2017-10-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.