Coastal Eye Clinic, PA

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1267 Issued in NC

Legal business name

COASTAL EYE CLINIC, PA

Practice address

3504 Bridges St
Morehead City, NC 28557-2912

Phone

(252) 240-3077

Fax

(252) 240-0562

NPI assigned

Aug 4, 2006

Organization subpart

Yes

Parent organization

COASTAL EYE CLINIC, PAAs reported in NPPES

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

Authorized official

Name

James K Chance, MDNPI 1992719009

Title

Physician

Phone

(252) 633-4183

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Eye Clinic Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Coastal Eye Clinic, PA

  • Optician
  • New Bern, NC
  • NPI 1013921121

  6103811716

  Same PAC ID
• Coastal Eye Clinic, PA

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1255355814

  6103811716

  Same PAC ID

Part of

Coastal Eye Clinic PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coastal Eye Clinic, PA

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1255355814
  NPPES parent name

Practitioners 7

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

• James Kenneth Chance, MD

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1992719009
  NPD Authorized official
• William Clark, MD

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1447831177
  NPD
• Cara Dian Hamm, O.D.

  • Optometrist
  • New Bern, NC
  • NPI 1710172507
  NPD
• Nirvighna N. Kanjiya, O.D.

  • Optometrist
  • New Bern, NC
  • NPI 1376876227
  NPD
• Dean Palanca Ouano, MD

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1811911316
  NPD
• Jordan Ridgeway, O.D.

  • Optometrist
  • New Bern, NC
  • NPI 1902231640
  NPD
• Michele Lea Scott, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • New Bern, NC
  • NPI 1780865717
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1184632093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625236",
            "telephone_number": "252-637-6543",
            "fax_number": "252-637-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572912",
            "telephone_number": "252-240-3077",
            "fax_number": "252-240-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE CLINIC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL EYE CLINIC, PA",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-633-4183",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802153",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Eye Clinic Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coastal Dentistry
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• Joseph Cohen
• Robert Emmel Coles, MD
• Jordan Britton Collins, PA-C
• Community Pharmacy, Inc.

• Optician in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.