Glaucoma Laser Center Pc

LBN: Glaucoma Laser Center Pc
Glaucoma Laser Center Pc is an health care organization with primary practice located at 160 Kingsley Ln Ste 300, Norfolk VA 23505-4600. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is the primary health care specialty. Glaucoma Laser Center Pc can be contacted via phone (757) 440-1144, or through Kerner, Dawnielle J via phone (757) 440-1144.

Contact Information

Primary practice address
160 Kingsley Ln Ste 300 Norfolk VA 23505-4600
Fax: (757) 440-1117
Website:
Authorized official contact:
Name: Kerner, Dawnielle J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 0101052595 Virginia

Profile Details

NPI number 1891791521
LBN Legal business name Glaucoma Laser Center Pc
DBA Doing business as
Authorized official Kerner, Dawnielle J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 21st, 2022 - about 2 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 1891791521 NPPES
Virginia MEDICAID 006304869
Virginia Other 242315

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