COASTAL EYE SURGERY CENTER PLLC – NPI #1538752514
Clinic/Center

COASTAL EYE SURGERY CENTER PLLC is an AHC clinic located in GREENWICH, CT. NPPES has assigned the NPI number 1538752514 to COASTAL EYE SURGERY CENTER PLLC on February 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on Feb 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COASTAL EYE SURGERY CENTER PLLC below.

NPI Profile for
COASTAL EYE SURGERY CENTER PLLC

NPI Number
1538752514
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL EYE SURGERY CENTER PLLC
Primary location
600 W PUTNAM AVE LOWR LEVEL
GREENWICH, CT 06830-6080
Phone: (203) 900-7911 Fax: (203) 900-7911
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OMAR SHAKIR
PRESIDENT
Phone: (203) 900-7911
Updated
Certification Date
Feb 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QS0132X
- Clinic/Center / Ophthalmologic Surgery
207W00000X
- Ophthalmology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.