COASTAL EYE SURGERY CENTER, LLC (NPI# 1366620726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366620726 |
| Entity Type | Organization |
| Organization Name | COASTAL EYE SURGERY CENTER, LLC |
| Practice Address |
128 Bucksport Rd Suite A Ellsworth ME 04605-2239 |
| Mailing Address |
Po Box 1539 Blue Hill ME 04614-1539 |
| Practice Telephone | 2076677730 |
| Practice Fax Number | 2076679523 |
| Mailing Telephone | 2076676300 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | DR. LAWRENCE PIAZZA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2076676300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| Street Address |
128 BUCKSPORT RD SUITE A |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497721161 | Walter N Muth | Ophthalmology | 128 Bucksport Rd, Suite B, Ellsworth, ME 04605-2239 | 2006-02-23 |
| 1376900720 | Cec, LLC | Ophthalmology | 128 Bucksport Rd, Suite B, Ellsworth, ME 04605-2239 | 2016-01-15 |
| 1063878734 | Cesc, LLC | Clinic/Center | 128 Bucksport Rd, Suite A, Ellsworth, ME 04605-2239 | 2016-01-11 |
| 1215156534 | Isaac J Rudloe | Ophthalmology | 128 Bucksport Rd, Ellsworth, ME 04605-2239 | 2007-04-25 |
| 1164507794 | Coastal Eye Care, P.a. | Ophthalmology | 128 Bucksport Rd, Suite B, Ellsworth, ME 04605-2239 | 2006-10-25 |
| 1881660116 | Lawrence Piazza | Ophthalmology | 128 Bucksport Rd, Suite B, Ellsworth, ME 04605-2239 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982955829 | Paul R. Moulton, M.d. | Clinic/Center | 5 Grove St., Bangor, ME 04401-5394 | 2012-10-01 |
Please comment or provide details below to improve the information on COASTAL EYE SURGERY CENTER, LLC.
| 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.