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Individual

DR. LASHETA P. DAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6167 BAYFIELD PKWY, CONCORD, NC 28027-7486
(704) 795-3937
(704) 795-1577
Mailing address
6167 BAYFIELD PKWY, CONCORD, NC 28027-7486
(704) 795-3937
(704) 795-1577

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1068
SC
152W00000X
Optometrist
Primary
1647
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093H3
HEALTHCHOICE
NC
01
1190
COMMUNITY EYE CARE
NC
01
25386
OPTICARE
NC
01
48263
AVESIS (WELLPATH)
NC
01
562053819
SUPERIOR VISION
NC
01
651317623
SUPERIOR VISION
NC
05
890915N
NC
01
OP2772
EYEMED VISION CARE
NC
Enumeration date
01/30/2007
Last updated
05/30/2017
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