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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | NC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8801761 | 05 |
Street Address |
1120 MEDICAL CENTER DR |
City | WILMINGTON |
State | NC |
Zip Code | 28401-7305 |
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 |
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 |
Find all providers in zip 28401 |
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 |
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 |
City | WILMINGTON |
Zip Code | 28401 |
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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.