Coastal Vision Center a Professional Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

10490 Issued in CA

Legal business name

COASTAL VISION CENTER A PROFESSIONAL OPTOMETRY CORPORATION

Practice address

21320 Hawthorne Blvd
Suite 107
Torrance, CA 90503-5606

Phone

(310) 792-6200

Fax

(310) 792-6223

NPI assigned

Apr 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Lynn Geering-Fend, O.D.NPI 1669553871

Title

President

Phone

(310) 792-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Deborah Lynn Geering-Fend, O.D.

  • Optometrist
  • Torrance, CA
  • NPI 1669553871
  Medicare reassignment Care Compare group NPD Authorized official
• Sheryl Ann Bruce, OD

  • Optometrist
  • Torrance, CA
  • NPI 1457478638
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1851634570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "SUITE 107",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-792-6200",
            "fax_number": "310-792-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "SUITE 107",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-792-6200",
            "fax_number": "310-792-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VISION CENTER A PROFESSIONAL OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "GEERING-FEND",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Perinatal Center Inc (Coastal Perinatal Center)
• Coastal Physicians Medical Group, Inc.
• Coastal View Gastroenterology of South Bay
• Coastal View Gastroenterology of South Bay Inc
• Coastal View Gastroenterology, Inc
• Kori Anne Coates
• Wendy Coates, M.D.
• Kristina Cobuzzi, OTR/L
• Ariel Marie Santiago Codilla, DPT
• Jordan Alejandro Coello, M.A.

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.