Third Coast Optical, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THIRD COAST OPTICAL, LLC

Practice address

22835 State Highway 59 S Ste D
Robertsdale, AL 36567-6154

Phone

(251) 923-8684

NPI assigned

Oct 20, 2021

Last updated

Oct 20, 2021By 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

Samantha ChambersNPI 1386314565

Title

Owner

Phone

(251) 923-8684

Specialties & licenses 1

Addresses

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.

• Samantha Chambers, ABO

  • Optician
  • Loxley, AL
  • NPI 1386314565
  NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1437812047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22835 STATE HIGHWAY 59 S STE D",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365676154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22835 STATE HIGHWAY 59 S STE D",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365676154",
            "telephone_number": "251-923-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-923-8684"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Steele III, M.D.
• Raikesha Sullivan
• Symbol Health Solutions, L.LC.
• Tina Marie Syphrit, CRNP
• Wanda Taylor, LPC
• Melissa Durham Turberville, RPH
• Michael Twilley
• W. Jason Northcutt, DMD, PC (Robertsdale Dental Care)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-6173)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-6173)

• Clinic/Center in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.