COASTAL VISIONCARE LLC (NPI# 1699266361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699266361 |
| Entity Type | Organization |
| Organization Name | COASTAL VISIONCARE LLC |
| Practice Address |
2186 Harris Ave Ne Ste 1 Palm Bay FL 32905 |
| Mailing Address |
218 Waterside Dr Indian Harbour Beach FL 32937-4341 |
| Practice Telephone | 6143025395 |
| Mailing Telephone | 6143025395 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | DR. KEVIN SORENSEN (OWNER) |
| Authorized Official Telephone | 6143025395 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
2186 HARRIS AVE NE STE 1 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| 1003186040 | Julie Artley | Pharmacist | 1213 Palm Bay Rd, Ne, Melbourne, FL 32905 | 2012-01-09 |
| Find all providers in zip 32905 | ||||
| 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 |
|---|---|---|---|---|
| 1619245644 | Space Coast Eye Care Inc. | Optometrist | 1051 Port Malabar Blvd Ne Ste 14, Palm Bay, FL 32905-5153 | 2011-12-05 |
| 1962594119 | Carl E Doughty | Optometrist | 1051 Pt Malabar Bv Ne, Suite 14, Palm Bay, FL 32905 | 2006-09-28 |
| 1114021771 | Jeanette Margarita Faulkner | Optometrist | 775 Huntington St Ne, Palm Bay, FL 32907-1412 | 2006-09-12 |
| 1568466803 | James William Cobb Jr. | Optometrist | 2186 Harris Ave Ne, Ste 1, Palm Bay, FL 32905-4044 | 2005-06-01 |
| 1467753152 | Bert Misner Od & Associates, Inc | Optometrist | 1040 Malabar Rd Se, Palm Bay, FL 32907-3251 | 2010-11-11 |
| 1225161094 | William Albert Misner | Optometrist | 1040 Malabar Rd Se, Palm Bay, FL 32907-3251 | 2007-03-13 |
| 1568510816 | Dr James W Cobb, Jr, Pa | Optometrist | 2186 Harris Ave Ne, Suite 1, Palm Bay, FL 32905-4044 | 2007-01-05 |
| 1366530727 | Christopher Michael Allen | Optometrist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466889 | Eye Doctors Optical Outlets, Pa | Optometrist | 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 | 2020-10-27 |
| 1376142828 | Edyta H Bogusz | Optometrist | 13073 Overstreet Rd, Windermere, FL 34786-6602 | 2020-10-25 |
| 1639778517 | Tran Hue Luong | Optometrist | 3520 36th St N, Saint Petersburg, FL 33713-1412 | 2020-10-21 |
| 1902405822 | Superior Eyes Optical, Inc | Optometrist | 6541 Superior Ave, Sarasota, FL 34231-5835 | 2020-10-21 |
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1386241297 | Simply See LLC | Optometrist | 1573 S Wickham Rd, Melbourne, FL 32904-3540 | 2020-10-04 |
| 1578170155 | Zoran Mihajlovic | Optometrist | 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 | 2020-09-28 |
| 1245846237 | Eye Health of Fort Meyersllc | Optometrist | 2277 First St, Fort Myers, FL 33901-2959 | 2020-09-16 |
| 1740893692 | Drmaria Loulourgas Pa | Optometrist | 928 Curlew Rd, Dunedin, FL 34698-1901 | 2020-08-28 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.