| NPI | 1427498344 |
|---|---|
| Doing Business As | COASTALVISION |
| Entity Type | Organization |
| Authorized Contact | RUSSELL ARTHUR BEACH President 757-275-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001498) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2015-11-23 |