Organization Active NPI

Coastal Bend Eye Center

  • Ophthalmology Physician
  • Corpus Christi, TX
National Provider Identifier
1205857562
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COASTAL BEND EYE CENTER
Practice address
900 Morgan Ave
Corpus Christi, TX 78404-2028
Phone
(361) 888-4288
Fax
(361) 888-4786
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Jack A Sahadi, M.D.NPI 1235152570
Title
President
Phone
(361) 888-4288

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X TX Primary

Addresses

Primary practice location

900 Morgan Ave
Corpus Christi, TX 78404-2028

Mailing address

900 Morgan Ave
Corpus Christi, TX 78404-2028
Phone (361) 888-4288

Other identifiers 2

IdentifierTypeStateIssuer
00E25YOtherTXBLUE CROSS/BLUE SHIELD
CS3829OtherTXMEDICARE-RAILROAD

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1205857562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042028",
            "telephone_number": "361-888-4288",
            "fax_number": "361-888-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042028",
            "telephone_number": "361-888-4288",
            "fax_number": "361-888-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SAHADI",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-888-4288",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00E25Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "CS3829",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.