Lake Norman Ophthalmology Pllc

LBN: Lake Norman Ophthalmology Pllc
Lake Norman Ophthalmology Pllc is an health care organization with primary practice located at 132 Gateway Blvd Ste C , Mooresville NC 28117-5540. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Lake Norman Ophthalmology Pllc can be contacted via phone (704) 662-3875, or through Patel, Tushar via phone (704) 663-7226.

Contact Information

Primary practice address
132 Gateway Blvd Ste C Mooresville NC 28117-5540
Phone: (704) 662-3875
Fax: (704) 662-3875
Website:
Map and Directions
Authorized official contact:
Name: Patel, Tushar Doctor of Medicine (MD)
Phone: (704) 663-7226

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1821147133
LBN Legal business name Lake Norman Ophthalmology Pllc
DBA Doing business as
Authorized official Patel, Tushar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 14th, 2023 - about 3 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 1821147133 NPPES
North Carolina MEDICAID 89015UE

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