Deslauriers, Kathy A
Deslauriers, Kathy A is an individual health care provider with primary practice located at 4830 Main St , Shallotte NC 28470-1912. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Deslauriers, Kathy A can be contacted via phone (910) 754-2020.Contact Information
Primary practice address
4830 Main St
Shallotte NC 28470-1912
Phone: (910) 754-2020
Fax: (910) 754-8811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1316 | North Carolina |
Profile Details
| NPI number | 1518910454 |
|---|---|
| LBN Legal business name | Deslauriers, Kathy A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jan 29th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518910454 | NPPES |
| North Carolina | MEDICAID | 890158B | |
| North Carolina | Other | 09222 | |
| North Carolina | Other | 1518910454 |
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