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Organization
COASTAL EYE SURGEONS LLC
Active
Organization
COASTAL EYE SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR SHAKIR MD MBA (MANAGING PARTNER)
(321) 960-2664
Entity
Organization
Contact information
Practice address
600 W PUTNAM AVE LOWR LEVEL, GREENWICH, CT 06830
(203) 900-7911
Mailing address
600 W PUTNAM AVE LOWR LEVEL, GREENWICH, CT 06830-6080
(321) 960-2664
(877) 991-2624
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/07/2018
Last updated
06/19/2018
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