# COASTAL EYE ASSOCIATES, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033546247
- **Authorized official:** DARLEEN D SUTCLIFFE (MANAGER)
- **Authorized official phone:** (831) 728-2020

## Contact information

- **Practice address:** 930 SUNNYSLOPE RD, SUITE E2, HOLLISTER, CA 95023-5615
- **Practice address phone:** (831) 637-0705
- **Practice address fax:** (831) 637-4701
- **Mailing address:** 160 GREEN VALLEY RD, SUITE 202, FREEDOM, CA 95019-3160
- **Mailing address phone:** (831) 728-2020
- **Mailing address fax:** (831) 728-4739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 00C53223 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2013
- **Last updated:** 07/16/2014