NPIMap

Organization Active NPI

Coastal Eye Associates, PLLC

  • Ophthalmology Physician
  • Alvin, TX
National Provider Identifier
1407980725
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COASTAL EYE ASSOCIATES, PLLC
Practice address
1913 Steele Rd
Alvin, TX 77511
Phone
(281) 488-7213
Fax
(281) 824-8711
NPI assigned
Mar 16, 2007
Last updated
Feb 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Mr. Kelly Ferree
Title
Executive Administrator
Phone
(281) 488-7213

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X
Ophthalmology Physician 207W00000X TX Primary

Addresses

Primary practice location

1913 Steele Rd
Alvin, TX 77511

Mailing address

555 E Medical Center Blvd
Suite 101
Webster, TX 77598
Phone (281) 488-7213

Other identifiers 3

IdentifierTypeStateIssuer
121767110MedicaidTX
CD5801OtherTXCARERAILROAD
45D2056995OtherTXCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050412000737 TX Part B Supplier - Clinic/Group Practice 2264479112 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Webster, TX; Houston, TX; Texas City, TX; Alvin, TX; Pasadena, TX
O20110815000183 TX DME Supplier - Physician - OptometristDME Supplier - Optician 2264479112 Practice locations: Alvin, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2056995Coastal Eye Associates PLLC1913 Steele Rd, Alvin, TX 77511Certificate of waiverApr 7, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Coastal Eye Associates, PLLC1913 Steele Rd, Alvin, TX 77511-5526(281) 488-7213 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Oct 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Coastal Eye Associates PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1913 Steele Rd
Alvin, TX 77511
Phone (281) 488-7213

555 E Medical Center Blvd
Ste 101
Webster, TX 77598
Phone (281) 488-7213

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1407980725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-488-7213",
            "fax_number": "281-488-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 STEELE RD",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "281-488-7213",
            "fax_number": "281-824-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "FERREE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "281-488-7213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121767110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARERAILROAD",
            "identifier": "CD5801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2056995",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.