Coastal Eye Care Llc | |
819 S Holladay Dr, Seaside, OR 97138-6608 | |
(503) 738-5361 | |
(503) 738-9094 |
Full Name | Coastal Eye Care Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 819 S Holladay Dr, Seaside, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164601878 | NPI | - | NPPES |
226831 | Medicaid | OR | |
DD2653 | Other | OR | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2483T (Oregon) | Primary |
Provider Name | Darren L Thorsen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720082415 PECOS PAC ID: 4587556774 Enrollment ID: I20040324001732 |
Provider Name | Nina M Nemetz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003080516 PECOS PAC ID: 0840488144 Enrollment ID: I20110103000114 |
Provider Name | Chelsea Bramlett Stebel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659750198 PECOS PAC ID: 0446566525 Enrollment ID: I20150922002610 |
Provider Name | Katelyn Powers |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194278382 PECOS PAC ID: 2264728104 Enrollment ID: I20160901001506 |
Provider Name | Ashley Nicole Calvert |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104486356 PECOS PAC ID: 4486981867 Enrollment ID: I20190903001935 |
Provider Name | Krista Ann Tomlinson Coontz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740858737 PECOS PAC ID: 4284034778 Enrollment ID: I20210622000009 |
Provider Name | Kyle Thompson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124691779 PECOS PAC ID: 3779987466 Enrollment ID: I20210803000537 |
Mailing Address | Practice Location Address |
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Coastal Eye Care Llc 819 S Holladay Dr, Seaside, OR 97138-6608 Ph: (503) 738-5361 | Coastal Eye Care Llc 819 S Holladay Dr, Seaside, OR 97138-6608 Ph: (503) 738-5361 |