Healthcare Provider Details

I. General information

NPI: 1841242955
Provider Name (Legal Business Name): SOUTHCOAST EYE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300A FAUNCE CORNER RD SUITE 101
NORTH DARTMOUTH MA
02747-1257
US

IV. Provider business mailing address

300A FAUNCE CORNER RD SUITE 101
NORTH DARTMOUTH MA
02747-1257
US

V. Phone/Fax

Practice location:
  • Phone: 508-995-8200
  • Fax: 508-995-4631
Mailing address:
  • Phone: 508-995-8200
  • Fax: 508-995-4631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MAUREEN C PEPIN
Title or Position: OFFICE MANAGER
Credential:
Phone: 508-995-8200