Coastal Eye Surgeons LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COASTAL EYE SURGEONS LLC

Practice address

600 W Putnam Ave Lowr Level
Greenwich, CT 06830

Phone

(203) 900-7911

NPI assigned

Jan 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Omar Shakir, MD MBANPI 1689934127

Title

Managing Partner

Phone

(321) 960-2664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: oshakir@ces.intellechartdirect.net
• Direct secure messaging: operdomo@ces.intellechartdirect.net

Practitioners 4

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

• Omar Razzaque Shakir, MD MBA

  • Ophthalmology Physician
  • Greenwich, CT
  • NPI 1689934127
  Medicare reassignment Care Compare group NPD Authorized official
• Cameron Leigh Oloughlin, OD

  • Optometrist
  • Greenwich, CT
  • NPI 1124902515
  Medicare reassignment Care Compare group NPD
• Omar J Perdomo, OD

  • Optometrist
  • Greenwich, CT
  • NPI 1770218620
  Medicare reassignment Care Compare group NPD
• Sarah L Lechanski, O.D.

  • Optometrist
  • Darien, CT
  • NPI 1013166651
  Medicare reassignment NPD

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1689181083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W PUTNAM AVE LOWR LEVEL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306080",
            "telephone_number": "321-960-2664",
            "fax_number": "877-991-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PUTNAM AVE LOWR LEVEL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06830",
            "telephone_number": "203-900-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "SHAKIR",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "321-960-2664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MBA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Clain, MD
• John L Clark, M.D.
• Tracy-Ann M. Clarke-Leconte, M.D.
• Adelina Marie Clarke, CRNA
• Stephanie R Cleary, IBCLC
• Coastal Eye Surgery Center PLLC
• Christienne F Coates, MD
• Terry L Cochran, M.D.
• Loretta Cody, M.D.
• Cognitive and Behavioral Care Center, LLC

• Ophthalmology Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.