Organization
COASTAL EYE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY FERREE (EXECUTIVE ADMINISTRATOR)
(281) 488-7213
Entity
Organization
Contact information
Practice address
555 E MEDICAL CENTER BLVD, SUITE 101, WEBSTER, TX 77598-4326
(281) 488-7213
(281) 488-1387
Mailing address
555 E MEDICAL CENTER BLVD STE 101, WEBSTER, TX 77598-4367
(281) 488-7213
(281) 488-1387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121767103
—
TX
01
—
45D2056996
CLIA
TX
01
—
CD5801
RAILROAD MEDICARE
TX
Enumeration date
02/02/2006
Last updated
03/31/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up