Organization
COAST EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B BENIGNO JR. O.D. (MANAGING MEMBER)
(228) 452-0830
Entity
Organization
Contact information
Practice address
205 E SECOND ST, PASS CHRISTIAN, MS 39571-4422
(228) 452-0830
(228) 452-0870
Mailing address
PO BOX 687, PASS CHRISTIAN, MS 39571-0687
(228) 452-0830
(228) 452-0870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
614
MS
Other
Enumeration date
11/16/2007
Last updated
03/12/2008
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