Coastal Optical of Wilmington

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

594 Issued in NC

Legal business name

COASTAL OPTICAL OF WILMINGTON

Practice address

1120 Medical Center Dr
Wilmington, NC 28401-7305

Phone

(910) 763-2532

Fax

(910) 762-1292

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Max Gilbert Sox Jr.

Title

Optician/Owner

Phone

(910) 763-2532

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1295060267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-763-2532",
            "fax_number": "910-762-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-763-2532",
            "fax_number": "910-762-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OPTICAL OF WILMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "SOX",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "910-763-2532",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802139",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Music Therapy Services
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• Coastal Neuropsychological Services Inc
• Coastal Nutrition, LLC
• Coastal Occupational Therapy
• Coastal Optical Services of Wilmington
• Coastal Optical, Inc.
• Coastal Pediatric Associates, PLLC
• Coastal Pharmacy and Compounding
• Coastal Physical Therapy

• Eyewear Supplier in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.