Organization
COASTAL OPTICAL SERVICES OF WILMINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX GILBERT SOX JR. (OPTICIAN)
(910) 763-2532
Entity
Organization
Contact information
Practice address
411 N COLONY CIR, WILMINGTON, NC 28409-9148
(910) 763-2532
(910) 762-1292
Mailing address
1120 MEDICAL CENTER DR, WILMINGTON, NC 28401-7305
(910) 763-2532
(910) 762-1292
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
594
NC
Other
Enumeration date
08/08/2013
Last updated
12/04/2013
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