Coastal Eye Clinic PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COASTAL EYE CLINIC PA

Practice address

3504 Bridges St
Morehead City, NC 28557-2912

Phone

(252) 726-1064

Fax

(252) 240-0562

NPI assigned

Jul 27, 2006

Organization subpart

Yes

Parent organization

COASTAL EYE CLINIC PAAs reported in NPPES

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

Authorized official

Name

James K. Chance, M.D.NPI 1992719009

Title

Physician

Phone

(252) 633-4183

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Coastal Eye Clinic, PA

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1255355814

  O20040414001763

  Same enrollment

Tax ID family

Coastal Eye Clinic PA2 organizations share this tax ID, including this one

Part of

Coastal Eye Clinic PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Eye Clinic, PA

  • Optician
  • New Bern, NC
  • NPI 1013921121
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coastal Eye Clinic, PA

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1255355814
  NPPES parent name

Practitioners 3

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

• James Kenneth Chance, MD

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1992719009
  NPD Authorized official
• Cara Dian Hamm, O.D.

  • Optometrist
  • New Bern, NC
  • NPI 1710172507
  NPD
• Michele Lea Scott, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • New Bern, NC
  • NPI 1780865717
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1699799262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625236",
            "telephone_number": "252-633-4183",
            "fax_number": "252-636-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572912",
            "telephone_number": "252-726-1064",
            "fax_number": "252-240-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE CLINIC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL EYE CLINIC PA",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-633-4183",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2061",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914883",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901354",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Care Pharmacy Inc
• Coastal Care Pharmacy Inc
• Coastal Carolina Health Care PA
• Coastal Carolina Professional Counseling Services, PLLC
• Coastal Dentistry
• Coastal Eye Clinic, PA
• Coastal Pediatric Care, Inc
• Joseph Cohen
• Robert Emmel Coles, MD
• Jordan Britton Collins, PA-C

• Ophthalmology Physician in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.