Coastal Eye Associates Pllc | |
555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 | |
(281) 488-7213 | |
(281) 488-1387 |
Full Name | Coastal Eye Associates Pllc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 555 E Medical Center Blvd, Webster, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922070036 | NPI | - | NPPES |
121767103 | Medicaid | TX | |
45D2056996 | Other | TX | CLIA |
CD5801 | Other | TX | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Tyrus J Demouchet |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144262783 PECOS PAC ID: 1759385586 Enrollment ID: I20060908000183 |
Provider Name | Charlise A Gunderson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457410672 PECOS PAC ID: 7618076126 Enrollment ID: I20070625000532 |
Provider Name | Shaena H Choi |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770568685 PECOS PAC ID: 1355348756 Enrollment ID: I20071018000691 |
Provider Name | Duc Tran |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831130111 PECOS PAC ID: 4183627722 Enrollment ID: I20071113000242 |
Provider Name | Esther T Dunn |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548481070 PECOS PAC ID: 0244391878 Enrollment ID: I20081202000036 |
Provider Name | Kristan Gibson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093899890 PECOS PAC ID: 9032275706 Enrollment ID: I20090304000446 |
Provider Name | Chad E Moffitt |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457365603 PECOS PAC ID: 7113989880 Enrollment ID: I20090601000109 |
Provider Name | Daniel Isser Goldman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255335055 PECOS PAC ID: 2668452129 Enrollment ID: I20100805000089 |
Provider Name | William Lipsky |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1407850464 PECOS PAC ID: 4183777352 Enrollment ID: I20100811000962 |
Provider Name | Charles Robert Gibson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205830262 PECOS PAC ID: 3779617196 Enrollment ID: I20100819001052 |
Provider Name | Lee Anne Collins |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629072103 PECOS PAC ID: 1759407828 Enrollment ID: I20100927000186 |
Provider Name | William Wynn Mcmullen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1013911072 PECOS PAC ID: 7113907676 Enrollment ID: I20101026000049 |
Provider Name | Teresa Brewer Lutz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962406496 PECOS PAC ID: 2567634355 Enrollment ID: I20111021000213 |
Provider Name | Diana C Tran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710040738 PECOS PAC ID: 2466670070 Enrollment ID: I20140822002260 |
Provider Name | Gregory Turner Clariday |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689678641 PECOS PAC ID: 8022098573 Enrollment ID: I20141031001087 |
Provider Name | Jayson Kalathil Tomy |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124542220 PECOS PAC ID: 5698047520 Enrollment ID: I20170828000731 |
Provider Name | Mohammad S Yazdanie |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467949933 PECOS PAC ID: 6608254925 Enrollment ID: I20220531001101 |
Mailing Address | Practice Location Address |
---|---|
Coastal Eye Associates Pllc 555 E Medical Center Blvd Ste 101, Webster, TX 77598-4367 Ph: (281) 488-7213 | Coastal Eye Associates Pllc 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 Ph: (281) 488-7213 |