Organization
COASTAL EYEWORKS INCORPORATED
Active
Other names
Ogden Optical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FOGLEMAN (OPTICIAN OWNER)
(910) 392-4000
Entity
Organization
Contact information
Practice address
6836 MARKET ST, WILMINGTON, NC 28405-9723
(910) 392-4000
(910) 392-5390
Mailing address
6836 MARKET ST, WILMINGTON, NC 28405-9723
(910) 392-4000
(910) 392-5390
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
582
NC
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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