| NPI | 1750308102 |
|---|---|
| Doing Business As | COASTAL EYE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOHN J JANVIER President 843-837-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC SC551) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC NC0941) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-04-20 |