Coastal Cape Fear Eye Associates, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COASTAL CAPE FEAR EYE ASSOCIATES, PA

Practice address

1915 Tradd CT
Wilmington, NC 28401-6638

Phone

(910) 762-0057

Fax

(910) 762-0336

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda S. Anderson

Title

Office Manager

Phone

(910) 762-0057

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Kathleen C Leone, MD FACS

  • Ophthalmology Physician
  • Wilmington, NC
  • NPI 1306937768
  NPD (past)
• David Kristofer Sutton, MD

  • Ophthalmology Physician
  • Whiteville, NC
  • NPI 1801002902
  NPD (past)
• Samuel Frank Boles, M.D.

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1255338307
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366404261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 TRADD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016638",
            "telephone_number": "910-762-0057",
            "fax_number": "910-762-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 TRADD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016638",
            "telephone_number": "910-762-0057",
            "fax_number": "910-762-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAPE FEAR EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-762-0057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948218",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.