COASTAL EYE CARE
NPI 1609893650
Optometrist in St Simons Island, GA

Active since July 16, 2006
312 REDFERN VLG, ST SIMONS ISLAND, GA 31522(912) 638-8652(912) 638-0490 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL EYE CARE (NPI 1609893650) is a healthcare organization registered as an optometrist in St Simons Island, Georgia and active in the NPI registry since July 2006. The organization lists Molly Hicks Hardin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609893650
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOASTAL EYE CARE LLC
Location Address312 REDFERN VLGSt Simons Island, GA 31522-2522
Mailing Address312 Redfern VlgSt Simons Island, GA 31522-2522 · (912) 638-8652 · Fax (912) 638-0490
Fax(912) 638-0490
Organization SubpartNo
Authorized OfficialMolly Hicks HardinOffice Manager · (912) 638-8652
Enumeration DateJuly 16, 2006
Last NPPES UpdateApril 20, 2011
✔ NPI 1609893650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
312 REDFERN VLG, St Simons Island, GA 31522

Other Names 1

Doing Business AsCoastal Eye Care

Other Identifiers 3

Medicare UPINGRP3399
Medicare NSC1268460001GA
Medicare ID-Type UnspecifiedGRP3399GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Eye Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1740315936
312 REDFERN VLG
St Simons Is, GA 31522
(912) 638-8652
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Eye Care LLC's NPI number?

The NPI number for Coastal Eye Care LLC is 1609893650. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Coastal Eye Care.

Where is Coastal Eye Care LLC located?

Coastal Eye Care LLC is located at 312 Redfern Vlg, St Simons Island, GA 31522. The listed phone number is (912) 638-8652.

What is Coastal Eye Care LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Coastal Eye Care LLC enrolled in Medicare?

Yes. Coastal Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Coastal Eye Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Eye Care LLC was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.