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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518910454 NPPES
North Carolina MEDICAID 890158B
North Carolina Other 09222
North Carolina Other 1518910454

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