Coates Optical Lab Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

S343TA056 Issued in AL

Legal business name

COATES OPTICAL LAB INC

Practice address

4131 Troy Hwy
Montgomery, AL 36116

Phone

(334) 288-2021

Fax

(334) 288-2012

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Gavin McFaden, D.O.NPI 1871606947

Title

Owner

Phone

(334) 288-2021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

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

• George Gavin McFaden, O.D.

  • Optometrist
  • Montgomery, AL
  • NPI 1871606947
  Medicare reassignment NPD Authorized official
• Tyler George McFaden, O.D.

  • Optometrist
  • Montgomery, AL
  • NPI 1447690771
  NPD (past)
• Craig Richard McNamara, O.D.

  • Optometrist
  • Auburn, AL
  • NPI 1417055625
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1245323971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 TROY HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-288-2021",
            "fax_number": "334-288-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 TROY HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-288-2021",
            "fax_number": "334-288-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATES OPTICAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "MCFADEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-288-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "S343TA056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cloverland Drugs, Inc
• Cloverland Drugs, Inc
• Holly J Cluck, CRNP
• CNB Eyewear
• Paul Vincent Tio Co, MD
• Candice Warren Cobb, D.C.
• Holly P Cobb, NP
• Kerri Leigh Cobb, HIS
• Ashley Latrice Cochran, LICSW
• Kevin Coggin

• Eyewear Supplier in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Eyewear Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.