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Contact Information

COASTAL OPTICAL SERVICES OF WILMINGTON
411 N COLONY CIR
WILMINGTON, NC28409-9148
 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

NPI Profile & details for COASTAL OPTICAL SERVICES OF WILMINGTON

NPI Number 1558793976
LBN Legal business name COASTAL OPTICAL SERVICES OF WILMINGTON
Authorized official MAX SOX - (OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2013
Last updated 12/04/2013 - About 13 years ago
Identifiers
NC License # 594
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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