COASTAL OPTICAL OF WILMINGTON; NPI #1295060267

Contact Information

COASTAL OPTICAL OF WILMINGTON

1120 MEDICAL CENTER DR
WILMINGTON, NC 28401-7305

Phone: 910-763-2532
Fax: 910-762-1292
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for COASTAL OPTICAL OF WILMINGTON

NPI Number 1295060267

LBN Legal business name COASTAL OPTICAL OF WILMINGTON

Authorized official MAX SOX - (OPTICIAN/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/08/2009

Last updated 10/26/2009 - About 17 years ago

Identifiers

NC	License #	594
NC	Medicaid	8802139

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COASTAL OPTICAL OF WILMINGTON

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for COASTAL OPTICAL OF WILMINGTON

Reviews for COASTAL OPTICAL OF WILMINGTON