| Organization Name: | COASTAL EYE CLINIC, PA |
| NPI Number: | 1013921121 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES K. CHANCE (PHYSICIAN) |
| Mailing Address: | 802 Mccarthy Blvd New Bern |
| State: | NC US |
| Postal Code: | 285625236 |
| Phone Number: | 2526376543 |
| Fax Number: | 2526379580 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 06/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |