Coastal Optical, Inc.

LBN: Coastal Optical, Inc.
Coastal Optical, Inc. is an health care organization with primary practice located at 1120 Medical Center Dr , Wilmington NC 28401-7305. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Coastal Optical, Inc. can be contacted via phone (910) 763-7316, or through Radford, Ian T via phone (910) 763-2532.

Contact Information

Primary practice address
1120 Medical Center Dr Wilmington NC 28401-7305
Phone: (910) 763-7316
Fax: (910) 343-6996
Website:
Map and Directions
Authorized official contact:
Name: Radford, Ian T LDO
Phone: (910) 763-2532

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X North Carolina

Profile Details

NPI number 1780892331
LBN Legal business name Coastal Optical, Inc.
DBA Doing business as
Authorized official Radford, Ian T LDO
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Feb 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780892331 NPPES
North Carolina MEDICAID 8801761

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