Coastal Eye Associates, a Medical Corporation
Organization Active NPI Ophthalmology Physician · Freedom, CA
NPI 1164560066 · NPPES record last updated Jul 28, 2014
Key facts
- NPI
- 1164560066
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- FNP24052 (CA)
- Legal business name
- COASTAL EYE ASSOCIATES, A MEDICAL CORPORATION
- Practice address
- 160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160 - Phone
- (831) 728-2020
- Fax
- (831) 728-4739
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Conrad K Hamako, MD
- Title
- President
- Phone
- (831) 728-2020
Practitioners 2
-
Careen Caputo, OD
National Provider Directory
Locations
160 Green Valley Rd
Freedom, CA 95019
Phone (831) 763-9700
160 Green Valley Rd
Ste 204
Freedom, CA 95019
930 Sunnyslope Rd
Ste 2
Hollister, CA 95023
930 Sunnyslope Rd
Ste C1
Hollister, CA 95023
Phone (831) 636-1211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | FNP24052 | CA | Yes |
Addresses
Primary practice location
160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Mailing address
160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Phone (831) 728-2020
Other providers in Freedom, CA
- Frederick Wen Kang Chen
- Siyi Chen
- Shannon Nicol Clasen
- Clyne & Hsu Medical Group Inc
- Patrick Stephen Clyne
- Conrad Hamako, M.D. Inc.
- Albert James Crevello Jr.
- John V Crowder Jr.
- David a South MD & Kim M Albridge MD a Medical Corporation
- Deepak K Sachdev DDS Inc.
All providers in Freedom, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.