Coastal Optical Services of Wilmington

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

594 Issued in NC

Legal business name

COASTAL OPTICAL SERVICES OF WILMINGTON

Practice address

411 N Colony Cir
Wilmington, NC 28409-9148

Phone

(910) 763-2532

Fax

(910) 762-1292

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Max Gilbert Sox Jr.NPI 1336382142

Title

Optician

Phone

(910) 763-2532

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.

• Max Gilbert Sox Jr.

  • Optician
  • Wilmington, NC
  • NPI 1336382142
  NPD (past) Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1558793976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-763-2532",
            "fax_number": "910-762-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N COLONY CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284099148",
            "telephone_number": "910-763-2532",
            "fax_number": "910-762-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OPTICAL SERVICES OF WILMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "SOX",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "910-763-2532",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Neurology PLLC
• Coastal Neuropsychological Services Inc
• Coastal Nutrition, LLC
• Coastal Occupational Therapy
• Coastal Optical of Wilmington
• Coastal Optical, Inc.
• Coastal Pediatric Associates, PLLC
• Coastal Pharmacy and Compounding
• Coastal Physical Therapy
• Coastal Pulmonary Medicine PA

• Eyewear Supplier in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.