Organization · NPI-2
Coastal Eye Clinic PA
Ophthalmology · Morehead City, NC
NPI number1699799262
StatusActive
Last updated in NPPESMar 10, 2011
Details
- NPI
- 1699799262
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Eye Clinic PA
- Organization subpart
- Yes
- Enumeration date
- Jul 27, 2006
- Last updated
- Mar 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 152W00000X | Optometrist | 2061 | NC |
Practice location
3504 Bridges StMorehead City, NC 28557-2912
Phone 252-726-1064 · Fax 252-240-0562
Mailing address
802 Mccarthy BlvdNew Bern, NC 28562-5236
Phone 252-633-4183 · Fax 252-636-1674
Authorized official
James K. Chance
Physician
2526334183
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