COASTAL EYEWORKS INCORPORATED (NPI# 1558497396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558497396 |
| Entity Type | Organization |
| Organization Name | COASTAL EYEWORKS INCORPORATED |
| Other Organization Name | OGDEN OPTICAL CENTER |
| Practice Address |
6836 Market St Wilmington NC 28405-9723 |
| Practice Telephone | 9103924000 |
| Practice Fax Number | 9103925390 |
| Mailing Telephone | 9103924000 |
| Mailing Fax Number | 9103925390 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID FOGLEMAN (OPTICIAN OWNER) |
| Authorized Official Telephone | 9103924000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
582 | NC | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Ogden Optical Center | Doing Business As Name - Organization |
| Street Address |
6836 MARKET ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405-9723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053597575 | Dr. Neal Williams | Optometrist | 6836 Market St, Wilmington, NC 28405-9723 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568754505 | Usv Optical Inc. | Technician/Technologist | 2131 Kirkwood Highway, Wilmington, DE 19805 | 2011-05-10 |
| 1124207840 | Ronnie Cleon Newkirk Sr. | Technician/Technologist | 4300 Deer Creek Ln, Wilmington, NC 28405 | 2007-10-30 |
| 1780704767 | Specs for Less | Technician/Technologist | 811 N Market St, Wilmington, DE 19801-3053 | 2007-03-31 |
| 1023176096 | Kathryn Brown Cordle | Technician/Technologist | 8068 Market St, Wilmington, NC 28411-9384 | 2006-12-04 |
| 1104998723 | Robert Hazen | Technician/Technologist | 4750 Limestone Rd, Wilmington, DE 19808-1928 | 2006-11-15 |
| 1457361602 | Wal-mart Stores East, Lp | Technician/Technologist | 2825 S State Route 73, Wilmington, OH 45177-7710 | 2006-08-09 |
| 1619936275 | Douglas Lee Bayse | Technician/Technologist | 2226 S 17th St, Wilmington, NC 28401-7515 | 2006-03-22 |
| 1417334939 | Wal-mart Stores East, Lp | Technician/Technologist | 8035 Market St, Wilmington, NC 28411 | 2015-05-05 |
| 1134521123 | America's Best Contacts & Eyeglasses | Technician/Technologist | 344 S College Rd, Wilmington, NC 28403-1632 | 2014-09-22 |
| 1336382142 | Max Gilbert Sox Jr. | Technician/Technologist | 1120 Medical Center Dr, Wilmington, NC 28401-7305 | 2009-04-08 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
Please comment or provide details below to improve the information on COASTAL EYEWORKS INCORPORATED.
| 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.