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COASTAL CAROLINA EYE CLINIC PA NPI 1396867040


NPI Information

NPI: 1396867040
Provider Name: COASTAL CAROLINA EYE CLINIC PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 34D0945722

Address:
1120 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401
Phone: (910) 763-7316
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COASTAL CAROLINA EYE CLINIC PA is an ophthalmology in Wilmington, NC. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. COASTAL CAROLINA EYE CLINIC PA NPI is 1396867040. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1120 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401-305
Phone: (910) 763-7316
Fax: (910) 343-6996

The provider's authorized official is Wendy Askew .
The authorized official title is Practice Administrator and has the following contact phone number (910) 763-7316.

The CLIA number assigned to this NPI record is 34D0945722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 11/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110011OTHERNORTH CAROLINAEYE MED GROUP
28901383MEDICAIDNORTH CAROLINA
3230333MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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