Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Eye Specialists Medical Group Inc

Organization Optometrist · NPI 1891873139

Coastal Eye Specialists Medical Group Inc is an Optometrist in Oxnard, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 N Rose Ave Ste 200
Oxnard, CA 93030
Phone: (805) 983-0700
Fax: (805) 983-7492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence LIAOOD OPT115TPA (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence G50251 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence A92760 (CA)

Record details

NPI number1891873139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official W Wan — President · (805) 983-0700
NPI enumeratedNovember 2, 2006
Last updated in NPPESSeptember 11, 2025
Certification dateAugust 25, 2022
Mailing address1700 N Rose Ave, Suite 200, Oxnard, CA 93030

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