Coastal Eye Associates, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COASTAL EYE ASSOCIATES, PLLC

Practice address

3333 Bayshore Blvd
Suite 280
Pasadena, TX 77504

Phone

(281) 488-7213

Fax

(713) 943-1657

NPI assigned

Oct 22, 2007

Organization subpart

No

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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Coastal Eye Associates

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1417356494

  O20050412000737

  Same enrollment
• Coastal Eye Associates PLLC

  • Ophthalmology Physician
  • Webster, TX
  • NPI 1922070036

  O20050412000737

  Same enrollment
• Coastal Eye Associates, PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1407045958

  O20050412000737

  Same enrollment
• Coastal Eye Associates, PLLC

  • Ophthalmology Physician
  • Alvin, TX
  • NPI 1407980725

  O20050412000737

  Same enrollment
• Coastal Eye Associates, PLLC

  • Ophthalmology Physician
  • Texas City, TX
  • NPI 1467586776

  O20050412000737

  Same enrollment

Practitioners 1

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

• Shaena H Choi, MD

  • Ophthalmology Physician
  • Webster, TX
  • NPI 1770568685

  Ophthalmology

  NPD

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1508055054",
    "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": "3333 BAYSHORE BLVD",
            "address_2": "SUITE 280",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "281-488-7213",
            "fax_number": "713-943-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121767111",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2056999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Ophthalmology Physician in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.