Coastal Eye Center PLLC

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

125346 Issued in NC

Legal business name

COASTAL EYE CENTER PLLC

Practice address

1855 West City Drive
Elizabeth City, NC 27909-4568

Phone

(252) 338-3909

Fax

(252) 331-1213

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul M Griffey, MD

Title

Owner

Phone

(252) 338-3909

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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: vverdi@cecnc.intellechartdirect.net
• Direct secure messaging: ilederman@cecnc.intellechartdirect.net
• Direct secure messaging: qfranklin@cecnc.intellechartdirect.net

Practitioners 4

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

• Quentin Franklin, M.D.

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1639131972

  NC

  Medicare reassignment Care Compare group NPD
• Vincent James Verdi, M.D.

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1053326777

  NC

  Medicare reassignment Care Compare group NPD
• Ira Robert Lederman, M.D.

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1780699413
  NPD
• Brenda A. Myers Powell, M.D. PH.D.

  • Retina Specialist (Ophthalmology) Physician
  • Federal Way, WA
  • NPI 1356325195
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1871652875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W CITY DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099633",
            "telephone_number": "252-338-3909",
            "fax_number": "252-331-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 WEST CITY DRIVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094568",
            "telephone_number": "252-338-3909",
            "fax_number": "252-331-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "GRIFFEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-338-3909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NC",
            "license": "125346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900309",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "016YV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• CNC/Access, Inc.
• Coastal Carolina Radiology, PLLC
• Coastal Prosthetics and Orthotics, LLC
• Coastal Rehabilitation Inc
• Coastal Rehabilitation Inc
• Coastal Rehabilitation Inc
• Coastal Sleep Center, LLC

• Ophthalmic Technician/Technologist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Ophthalmic Technician/Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.