| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255335055 PECOS PAC ID: 2668452129 Enrollment ID: I20100805000089 |
| 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 | Emmanuel Y Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083877740 PECOS PAC ID: 6507044542 Enrollment ID: I20130807000073 |
| Provider Name | Gregory Turner Clariday |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689678641 PECOS PAC ID: 8022098573 Enrollment ID: I20141031001087 |
| Provider Name | Mohammad S Yazdanie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467949933 PECOS PAC ID: 6608254925 Enrollment ID: I20220531001101 |
| Provider Name | Eric Noel Mendez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720799372 PECOS PAC ID: 0749652667 Enrollment ID: I20230202000372 |
| Provider Name | Angela Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437654159 PECOS PAC ID: 2860720125 Enrollment ID: I20240618003310 |
| 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 |