Coastal Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4820 Issued in FL

Legal business name

COASTAL EYE CARE INC

Practice address

2288 Drew Street
Suite B
Clearwater, FL 33765

Phone

(727) 281-8896

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Andrew Cormier, O.D.

Title

President/O.D

Phone

(727) 281-8896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1174972046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 DREW STREET",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-281-8896",
            "fax_number": "727-290-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 DREW STREET",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-281-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/O.D",
        "authorized_official_telephone_number": "727-281-8896",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.