Organization
COASTAL EYE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M GRIFFEY MD (OWNER)
(252) 338-3909
Entity
Organization
Contact information
Practice address
1855 WEST CITY DRIVE, ELIZABETH CITY, NC 27909-4568
(252) 338-3909
(252) 331-1213
Mailing address
1855 W CITY DR, ELIZABETH CITY, NC 27909-9633
(252) 338-3909
(252) 331-1213
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
125346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016YV
BLUE CROSS BLUE SHIELD
NC
05
—
5900309
—
NC
Enumeration date
12/06/2006
Last updated
03/17/2009
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