Coast Eyecare, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

614 Issued in MS

Legal business name

COAST EYECARE, PLLC

Practice address

205 E Second St
Pass Christian, MS 39571-4422

Phone

(228) 452-0830

Fax

(228) 452-0870

NPI assigned

Nov 16, 2007

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James B Benigno Jr., O.D.NPI 1881812709

Title

Managing Member

Phone

(228) 452-0830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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.

• James B Benigno Jr., O.D.

  • Optometrist
  • Pass Christian, MS
  • NPI 1881812709
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1255512455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395710687",
            "telephone_number": "228-452-0830",
            "fax_number": "228-452-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E SECOND ST",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714422",
            "telephone_number": "228-452-0830",
            "fax_number": "228-452-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "BENIGNO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "228-452-0830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James B Benigno Jr., O.D.
• Jeannette Bolte, PHD
• Calm Minds LLC
• Joe H Clark, PHARMACIST
• Katrina Clark
• Coastal Family Health Center, Inc (Coastal Family Health Center, Inc - Mobile Care)
• Coastal Family Health Center, Inc. (Pass Christian Health Center)
• Colorful Minds, LLC
• Community Chiropractic PLLC
• Madison Crump

• Optometrist in Pass Christian, MS
• Providers in Pass Christian, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.