# THIRD COAST OPTICAL, LLC

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

## Provider details

- **NPI number:** 1437812047
- **Authorized official:** SAMANTHA CHAMBERS (OWNER)
- **Authorized official phone:** (251) 923-8684

## Contact information

- **Practice address:** 22835 STATE HIGHWAY 59 S STE D, ROBERTSDALE, AL 36567-6154
- **Practice address phone:** (251) 923-8684
- **Mailing address:** 22835 STATE HIGHWAY 59 S STE D, ROBERTSDALE, AL 36567-6154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2021
- **Last updated:** 10/20/2021