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Organization
EYE SURGERY AND LASER CLINIC, INC.
Active
Organization
EYE SURGERY AND LASER CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID K. HARPER M. D. (PRESIDENT)
(704) 782-1127
Entity
Organization
Contact information
Practice address
500 LAKE CONCORD RD, CONCORD, NC 28025-2926
(704) 782-1127
(704) 782-1207
Mailing address
500 LAKE CONCORD RD NE, CONCORD, NC 28025-2926
(704) 782-1127
(704) 782-1207
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
87485
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00618
BLUE CROSS BLUE SHIELD
NC
05
—
3409839
—
NC
01
—
805608
PARTNERS MEDICARE
NC
Enumeration date
04/17/2006
Last updated
06/09/2008
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