Coastal Eyeworks Incorporated

Primary specialty

OpticianTaxonomy code 156FX1800X

License

582 Issued in NC

Legal business name

COASTAL EYEWORKS INCORPORATED

Doing business as

Ogden Optical Center

Practice address

6836 Market St
Wilmington, NC 28405-9723

Phone

(910) 392-4000

Fax

(910) 392-5390

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By 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

David Fogleman

Title

Optician Owner

Phone

(910) 392-4000

Specialties & licenses 1

Addresses

Other names 1

• Ogden Optical Center Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558497396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284059723",
            "telephone_number": "910-392-4000",
            "fax_number": "910-392-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284059723",
            "telephone_number": "910-392-4000",
            "fax_number": "910-392-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYEWORKS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOGLEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "910-392-4000"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ogden Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Community Care Services LLC
• Coastal Connections Collective, PLLC
• Coastal Counseling Associates, PLLC
• Coastal Dermatology & Surgery Center, PA
• Coastal Enterprises of Wilmington
• Coastal Family Practice & Internal Medicine
• Coastal Healing PA
• Coastal Hearing Solutions, Inc.
• Coastal Home Healthcare
• Coastal Horizons Center

• Optician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.