Organization Active NPI

Gulf Coast Optometry

  • Optometrist
  • Mobile, AL
National Provider Identifier
1134767015
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GULF COAST OPTOMETRY
Practice address
4027 Airport Blvd
Mobile, AL 36608-2251
Phone
(334) 322-2713
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Camtu Hoang Nguyen
Title
Manager
Phone
(334) 322-2713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4027 Airport Blvd
Mobile, AL 36608-2251

Mailing address

3048 Ivy Chase Loop
Montgomery, AL 36117-6983
Phone (334) 322-2713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1134767015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 IVY CHASE LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176983",
            "telephone_number": "334-322-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082251",
            "telephone_number": "334-322-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CAMTU",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-322-2713"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.