COASTAL EYE CENTER PLLC (NPI# 1871652875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871652875 |
| Entity Type | Organization |
| Organization Name | COASTAL EYE CENTER PLLC |
| Practice Address |
1855 West City Drive Elizabeth City NC 27909-4568 |
| Mailing Address |
1855 W City Dr Elizabeth City NC 27909-9633 |
| Practice Telephone | 2523383909 |
| Practice Fax Number | 2523311213 |
| Mailing Telephone | 2523383909 |
| Mailing Fax Number | 2523311213 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | MR. PAUL M GRIFFEY (OWNER) |
| Authorized Official Telephone | 2523383909 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
125346 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5900309 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 016YV | 01 |
| Street Address |
1855 WEST CITY DRIVE |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497852917 | Marshall Simms Redding | Technician/Technologist | Coastal Eye Center, 1855 West City Drive, Elizabeth City, NC 27909 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645809 | Animal Eye Care Veterinary Ophthalmology Practice, PC | Technician/Technologist | 6405 Tryon Rd, Suite 300, Cary, NC 27518-7095 | 2017-05-11 |
| 1952461840 | The Laser Eye Institute | Technician/Technologist | 1603 Medical Dr Ste D, Laurinburg, NC 28352-5541 | 2006-12-11 |
| 1215049291 | Eye Consultants of Greensboro | Technician/Technologist | 1305 W Wendover Ave, Suite B, Greensboro, NC 27408-8124 | 2006-08-31 |
| 1063453488 | Hennis Ophthalmology | Technician/Technologist | 1008 Old Rockford St, Mount Airy, NC 27030-5361 | 2006-06-09 |
| 1750573945 | Wesley D Clement Md PC | Technician/Technologist | 230 E Wt Harris Blvd, Suite C13, Charlotte, NC 28262-3539 | 2007-08-13 |
| 1760605034 | Mark Steven Baker | Technician/Technologist | 3521 Graystone Pl, Conover, NC 28613-8201 | 2007-04-11 |
| 1255454468 | David Watkins Burke | Technician/Technologist | 3521 Graystone Pl, Conover, NC 28613-8201 | 2007-04-10 |
| 1528021359 | Donald Philip Renaldo | Technician/Technologist | 1718 E 4th St, Ste. 908, Charlotte, NC 28204-3260 | 2006-04-11 |
| City | ELIZABETH CITY |
| Zip Code | 27909 |
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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.