Active NPI
Coastal Eye Associates, PLLC
- Ophthalmology Physician
- Pasadena, TX
National Provider Identifier
1508055054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
- Last updated
- Feb 2, 2016
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3333 Bayshore Blvd
Suite 280
Pasadena, TX 77504
Mailing address
555 E Medical Center Blvd
Suite 101
Webster, TX 77598
Phone (281) 488-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Coastal Eye Associates, PLLC
- Ophthalmology Physician
- Houston, TX
- NPI 1417356494
O20050412000737
National Provider Directory
National Provider DirectoryLocations
555 E Medical Center Blvd
Ste 101
Webster, TX 77598
Phone (281) 488-7213
Practitioners & affiliated clinicians
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.
-
- Ophthalmology Physician
- Webster, TX
- NPI 1770568685
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
- Clearhope Counseling and Wellness Center, PC (Clearhope Counseling and Wellness)
- Clearhope Counseling Center
- CMC Medical PLLC
- CN Thai Corporation (crenshaw pharmacy)
- CNS Medical Supply, LLC
- Erene Cobb, MOT, OTR
- Code 3 Medical Services LLC
- David Kriss Cohen, MD
- Betty A Collins, RPH
- Colt Strategies LLC (Tejas Pharmacy)
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.