NPIMap

Organization Active NPI

Coastal Eye Surgery Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Ellsworth, ME
National Provider Identifier
1366620726
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
COASTAL EYE SURGERY CENTER, LLC
Practice address
128 Bucksport Rd
Suite a
Ellsworth, ME 04605-2239
Phone
(207) 667-7730
Fax
(207) 667-9523
NPI assigned
Feb 7, 2008
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Lawrence Piazza, MDNPI 1881660116
Title
Medical Director
Phone
(207) 667-6300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

128 Bucksport Rd
Suite a
Ellsworth, ME 04605-2239

Mailing address

PO Box 1539
Blue Hill, ME 04614-1539
Phone (207) 667-6300

National Provider Directory

National Provider Directory

Locations

128 Bucksport Rd
#A
Ellsworth, ME 04605
Phone (207) 667-6300

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1366620726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046141539",
            "telephone_number": "207-667-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BUCKSPORT RD",
            "address_2": "SUITE A",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052239",
            "telephone_number": "207-667-7730",
            "fax_number": "207-667-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "207-667-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.