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Organization

COASTAL EYE CLINIC, PA

Active
Parent organization
COASTAL EYE CLINIC, PA
Other names
Coastal Eye Clinic Optical
Organization subpart
Yes

Provider details

NPI number
Legal business name
COASTAL EYE CLINIC, PA
Authorized official
JAMES K. CHANCE M.D. (PHYSICIAN)
(252) 633-4183
Entity
Organization

Contact information

Practice address
802 MCCARTHY BLVD, NEW BERN, NC 28562-5236
(252) 637-6543
(252) 637-9580
Mailing address
802 MCCARTHY BLVD, NEW BERN, NC 28562-5236
(252) 637-6543
(252) 637-9580

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
682
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8802158
NC
Enumeration date
07/27/2006
Last updated
06/23/2014
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