COASTAL OPTICAL SERVICES OF WILMINGTON (NPI# 1558793976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558793976 |
Entity Type | Organization |
Organization Name | COASTAL OPTICAL SERVICES OF WILMINGTON |
Practice Address |
411 N Colony Cir Wilmington NC 28409-9148 |
Mailing Address |
1120 Medical Center Dr Wilmington NC 28401-7305 |
Practice Telephone | 9107632532 |
Practice Fax Number | 9107621292 |
Mailing Telephone | 9107632532 |
Mailing Fax Number | 9107621292 |
Enumeration Date | 2013-08-08 |
Last Update Date | 2013-12-04 |
Authorized Official Name | MR. MAX GILBERT SOX JR. (OPTICIAN) |
Authorized Official Telephone | 9107632532 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 594 | NC | Suppliers |
Street Address |
411 N COLONY CIR |
City | WILMINGTON |
State | NC |
Zip Code | 28409-9148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
Find all providers in zip 28409 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376141358 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2131 Kirkwood Hwy, Wilmington, DE 19805-4901 | 2020-10-13 |
1861935736 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 4345 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5131 | 2016-11-28 |
1992103725 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3501 Market St, Wilmington, NC 28403-1323 | 2014-12-10 |
1205180817 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3030 Brandywine Pkwy, Wilmington, DE 19803-1498 | 2012-11-05 |
1356600084 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 5301 Market St Ste 200, Wilmington, NC 28405-3505 | 2012-05-15 |
1487834859 | Brandywine Optical Inc | Eyewear Supplier (Equipment, not the service) | 3606 Silverside Rd, Wilmington, DE 19810-5191 | 2007-11-13 |
1710175781 | Rosemont Enterprises Inc | Eyewear Supplier (Equipment, not the service) | 2323 Pennsylvania Avenue, Wilmington, DE 19806-1332 | 2007-10-04 |
1306044896 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 6721 Netherlands Dr, Wilmington, NC 28405-3776 | 2007-07-05 |
1972716645 | Myrtle Grove Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1917 Tradd Ct, Wilmington, NC 28401-6638 | 2007-05-08 |
1780897017 | Eye Tech LLC | Eyewear Supplier (Equipment, not the service) | 1119 Military Cutoff Rd, Suite D, Wilmington, NC 28405-3661 | 2007-05-07 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28409 |
Please comment or provide details below to improve the information on COASTAL OPTICAL SERVICES OF WILMINGTON.
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.