Eyecarecenter Od Pa

LBN: Eyecarecenter Od Pa
Eyecarecenter Od Pa is an health care organization with primary practice located at 509 Lauchwood Dr , Laurinburg NC 28352-5502. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eyecarecenter Od Pa can be contacted via phone (636) 200-4393, or through Gregg, Kenneth Allan via phone (252) 451-5324.

Contact Information

Primary practice address
509 Lauchwood Dr Laurinburg NC 28352-5502
Phone: (636) 200-4393
Fax: (910) 276-9254
Website:
Map and Directions
Authorized official contact:
Name: Gregg, Kenneth Allan Doctor of Optometry (OD)
Phone: (252) 451-5324

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1740727189
LBN Legal business name Eyecarecenter Od Pa
DBA Doing business as
Authorized official Gregg, Kenneth Allan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2017
Last updated Jun 20th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740727189 NPPES
North Carolina Other 0222680043 SUPPLIER NUMBER

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