Organization
COASTAL EYE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
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) 633-4183
(252) 636-1674
Mailing address
802 MCCARTHY BLVD, NEW BERN, NC 28562-5236
(252) 633-4183
(252) 636-1674
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2061
NC
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915534
—
NC
05
—
8901353
—
NC
Enumeration date
07/27/2006
Last updated
03/15/2011
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