| Coastal Eye Care Llc | |
|
10184 Eastern Shore Blvd, Suite A, Spanish Fort, AL 36527-5814 | |
| (251) 301-5650 | |
| (251) 621-9645 |
| Full Name | Coastal Eye Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 10184 Eastern Shore Blvd, Spanish Fort, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710433271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S486RA041 (Alabama) | Primary |
| Provider Name | Stephen M Gross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831112317 PECOS PAC ID: 5294793568 Enrollment ID: I20050103000916 |
| Provider Name | David J Helton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467473835 PECOS PAC ID: 9436100237 Enrollment ID: I20050209000663 |
| Provider Name | Samantha Jean Calhoun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740021930 PECOS PAC ID: 3173058880 Enrollment ID: I20241118003833 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Eye Care Llc 10184 Eastern Shore Blvd, Suite A, Spanish Fort, AL 36527-5814 Ph: () - | Coastal Eye Care Llc 10184 Eastern Shore Blvd, Suite A, Spanish Fort, AL 36527-5814 Ph: (251) 301-5650 |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10200 Eastern Shore Blvd Ste 170, Spanish Fort, AL 36527 Phone: 251-264-6412 | |
Samantha Calhoun, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10184 Eastern Shore Blvd, Spanish Fort, AL 36527 Phone: 251-301-5650 Fax: 251-581-9011 |