COASTAL OPTICAL, INC.


Address: 1120 Medical Center Dr, Wilmington, NC 28401-7305
Phone: 9107637316

COASTAL OPTICAL, INC. (NPI# 1780892331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780892331
Entity Type Organization
Organization Name COASTAL OPTICAL, INC.
Practice Address 1120 Medical Center Dr
Wilmington
NC 28401-7305
Practice Telephone 9107637316
Practice Fax Number 9103436996
Mailing Telephone 9107637316
Mailing Fax Number 9103436996
Enumeration Date 2007-05-18
Last Update Date 2008-02-13
Authorized Official Name MR. IAN T RADFORD (MANAGER)
Authorized Official Telephone 9107632532
Authorized Official Credential LDO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332H00000X Eyewear Supplier (Equipment, not the service) NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NC 8801761 05

Office Location

Street Address 1120 MEDICAL CENTER DR
City WILMINGTON
State NC
Zip Code 28401-7305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285677245 James L Kesler Ophthalmology 1120 Medical Center Dr, Wilmington, NC 28401-7305 2006-06-14
1477974988 Coastal Carolina Eye Clinic, Pa Ophthalmology 1120 Medical Center Dr, Wilmington, NC 28401-7305 2013-12-31
1295060267 Coastal Optical of Wilmington Eyewear Supplier (Equipment, not the service) 1120 Medical Center Dr, Wilmington, NC 28401-7305 2009-10-08
1336382142 Max Gilbert Sox Jr. Technician/Technologist 1120 Medical Center Dr, Wilmington, NC 28401-7305 2009-04-08
1396867040 Coastal Carolina Eye Clinic Pa Ophthalmology 1120 Medical Center Dr, Wilmington, NC 28401-7305 2007-04-04
1972547776 Molly V Allen Ophthalmology 1120 Medical Center Dr, Wilmington, NC 28401-7305 2006-06-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

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
1558793976 Coastal Optical Services of Wilmington Eyewear Supplier (Equipment, not the service) 411 N Colony Cir, Wilmington, NC 28409-9148 2013-08-08
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
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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