Active NPI
Coastal Eye Associates Inc
- Optometrist
- Westerly, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- COASTAL EYE ASSOCIATES INC
- Practice address
- 17 Wells St
Ste 101
Westerly, RI 02891-2923 - Phone
- (401) 348-2020
- Fax
- (401) 596-9348
- NPI assigned
- Nov 1, 2006
- Last updated
- Sep 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly Misto, O.D.
- Title
- Owner
- Phone
- (401) 348-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | RI | Primary |
Addresses
Primary practice location
17 Wells St
Ste 101
Westerly, RI 02891-2923
Mailing address
17 Wells St
Ste 101
Westerly, RI 02891-2923
Phone (401) 348-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE00626 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Coastal Eye Associates Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
17 Wells St
Ste 101
Westerly, RI 02891
Phone (401) 348-2020
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Westerly, RI
- NPI 1144278821
-
- Optometrist
- Westerly, RI
- NPI 1285017988
-
- Optometrist
- Westerly, RI
- NPI 1407425804
-
- Optometrist
- Westerly, RI
- NPI 1093966954
-
- Optometrist
- Westerly, RI
- NPI 1215985999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1174601132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WELLS ST",
"address_2": "STE 101",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912923",
"telephone_number": "401-348-2020",
"fax_number": "401-596-9348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WELLS ST",
"address_2": "STE 101",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912923",
"telephone_number": "401-348-2020",
"fax_number": "401-596-9348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL EYE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "MISTO",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-348-2020",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CE00626",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.