Organization
COASTAL EYE CLINIC PA
Active
Parent organization
COASTAL EYE CLINIC PA
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
3504 BRIDGES ST, MOREHEAD CITY, NC 28557-2912
(252) 726-1064
(252) 240-0562
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
—
5914883
—
NC
05
—
8901354
—
NC
Enumeration date
07/27/2006
Last updated
03/10/2011
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