Blue Coast Vision PC
Organization Active NPI Optometrist · Manistee, MI
NPI 1760035869 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1760035869
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BLUE COAST VISION PC
- Practice address
- 328 1St St
Manistee, MI 49660-1702 - Phone
- (231) 723-9911
- Fax
- (231) 723-9914
- NPI assigned
- Jul 18, 2019
- Organization subpart
- No
Authorized official
- Name
- Pamela Lynch, OD
- Title
- Optometrist Owner
- Phone
- (231) 590-4305
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190911001437 | MI | Part B Supplier - Clinic/Group Practice | 1254660590 |
Receives reassigned benefits from 2 practitioners Practice locations: Manistee, MI |
National Provider Directory
Locations
328 1st St
Manistee, MI 49660
Phone (231) 723-3545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
328 1St St
Manistee, MI 49660-1702
Mailing address
328 1St St
Manistee, MI 49660-1702
Phone (231) 723-9911
Other practice location 1
384 1st St
Manistee, MI 49660-1751
Phone (231) 590-4305
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.