Jordan R Ridgeway (NPI# 1902231640, PAC ID# 5991024077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1902231640 |
| PAC ID by PECOS | 5991024077 |
| Professional Enrollment ID | I20171025000325 |
| Full Name | Jordan R Ridgeway |
| Organization Legal Name | COASTAL EYE CLINIC, PA |
| Address |
802 Mccarthy Blvd New Bern NC 28562-5236 |
| Phone Number | 2526334183225 |
| Gender | M |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6103811716 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340131 | CAROLINA EAST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2526334183225 | COASTAL EYE CLINIC, PA |
| Organization Legal Name | COASTAL EYE CLINIC, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara D Hamm | Optometry | Coastal Eye Clinic, Pa | 3504 Bridges St, Morehead City, NC 28557-2912 |
| Michele L Scott | Ophthalmology | Coastal Eye Clinic, Pa | 3504 Bridges St, Morehead City, NC 28557-2912 |
| Dean P Ouano | Ophthalmology | Coastal Eye Clinic, Pa | 3504 Bridges St, Morehead City, NC 28557-2912 |
| James K Chance | Ophthalmology | Coastal Eye Clinic, Pa | 3504 Bridges St, Morehead City, NC 28557-2912 |
| Street Address |
802 MCCARTHY BLVD |
| City | NEW BERN |
| State | NC |
| Zip | 28562-5236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Mary Hagerty | Neurology | Coastal Carolina Health Care Pa | 2861 Trent Rd, New Bern, NC 28562-2029 |
| Cynthia L Riley | Chiropractic | 2871 Trent Rd, New Bern, NC 28562-2029 | |
| Karen T Rowan | Nurse Practitioner | Coastal Carolina Health Care Pa | 2861 Trent Rd, New Bern, NC 28562-2029 |
| Sheila L Blanks | Nurse Practitioner | Coastal Carolina Health Care Pa | 2861 Trent Rd, New Bern, NC 28562-2029 |
| Shil Kiritkumar Patel | Ophthalmology | Taylor Retina Center, Pa | 1403 Mccarthy Blvd, New Bern, NC 28562-2049 |
| Debra L Livingston-green | Nurse Practitioner | A Better Place Behavioral Health | 1304 C Commerce Dr, New Bern, NC 28562-2212 |
| Henry Dodge Beckwith | Psychologist, Clinical | 1304 Commerce Dr B, New Bern, NC 28562-2212 | |
| Marcy Arnold | Clinical Social Worker | A Better Place Behavioral Health | 1304 C Commerce Dr, New Bern, NC 28562-2212 |
| Lois A Flemming | Chiropractic | 3601 Trent Rd, Suite 3, New Bern, NC 28562-2219 | |
| Andrew Davidson | Ophthalmology | Singleton Vision Center | 3515 Trent Rd, Suite 9, New Bern, NC 28562-2220 |
| Find all physicians in zip 28562 | |||
| City | NEW BERN |
| Zip Code | 28562 |
| Specialty | OPTOMETRY |
| City + Specialty | NEW BERN + OPTOMETRY |
Please comment or provide details below to improve the information on Jordan R Ridgeway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.