DR. STACY A COFFMAN (NPI# 1194876680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194876680 |
| Entity Type | Individual |
| Full Name | DR. STACY A COFFMAN |
| Credential | O.D. |
| Practice Address |
12350 Carmel Mountain Rd San Diego CA 92128-4616 |
| Mailing Address |
14883 Huntington Gate Dr Poway CA 92064-6700 |
| Practice Telephone | 8586731221 |
| Practice Fax Number | 8586731221 |
| Mailing Telephone | 8584860740 |
| Mailing Fax Number | 8586731221 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10102T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578892832 | Stacy Coffman | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2009-12-16 |
| Street Address |
12350 CARMEL MOUNTAIN RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538279138 | Costco Wholesale Corporation | Pharmacy | 12350 Carmel Mountain Rd, San Diego, CA 92128 | 2006-08-30 |
| 1437759875 | Steven Anthony Muawad | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2020-10-26 |
| 1114310323 | Costco Wholesale Corporation | Hearing Aid Equipment | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2015-03-12 |
| 1295125334 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2015-01-28 |
| 1568712636 | Kye Ok Kim | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2012-09-14 |
| 1619242351 | Maggie B. Nguyen | Optometrist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2012-03-13 |
| 1184998148 | Jennifer Young Ahn | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2012-03-08 |
| 1881977700 | Georga Ann Ducklow | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699432 | Emily Thai | Optometrist | 10994 W Ocean Air Dr Apt 286, San Diego, CA 92130-4635 | 2020-08-14 |
| 1841800018 | Luminoptix Optometry | Optometrist | 655 Saturn Blvd Ste H, San Diego, CA 92154-4734 | 2020-08-03 |
| 1427673680 | Courtney Lynn Cape | Optometrist | 4353 La Jolla Village Dr Ste H-20, San Diego, CA 92122-1242 | 2020-06-13 |
| 1073137691 | Charles Tu | Optometrist | 2150 Pacific Beach Dr Apt 234, San Diego, CA 92109-5639 | 2020-05-29 |
| 1538796578 | Wilson Phu | Optometrist | 3345 Rosecrans St Ste B, San Diego, CA 92110-4225 | 2020-03-26 |
| 1346874971 | Florena Culas | Optometrist | 7477 Goode St, San Diego, CA 92139-3931 | 2020-02-22 |
| 1235786633 | Courtney Hongo | Optometrist | San Diego Va 3350 La Jolla Village Dr #1125, San Diego, CA 92161-0001 | 2019-08-20 |
| 1467012740 | Luis G. Perez-rivera Od Optometric Corporation | Optometrist | 11134 Rancho Carmel Dr Ste 102, San Diego, CA 92128-4671 | 2019-06-18 |
| 1063972438 | Fabian Luna Od, Inc | Optometrist | 9855 Erma Rd Ste 130, San Diego, CA 92131-1092 | 2019-03-22 |
| 1790249563 | Imperial Beach Optometric Corporation | Optometrist | 1555 Palm Ave Ste A2, San Diego, CA 92154-1012 | 2019-01-25 |
| Find all providers in SAN DIEGO | ||||
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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.