Organization
LASER DEFINED VISION
Active
Organization
LASER DEFINED VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL G STONECIPHER MD (OWNER)
(336) 851-7500
Entity
Organization
Contact information
Practice address
1002 N CHURCH ST STE 102, GREENSBORO, NC 27401-1447
(336) 854-4441
Mailing address
PO BOX 39148, GREENSBORO, NC 27438-9148
(336) 851-7500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427172246
INDIVIDUAL NPI
NC
Enumeration date
03/27/2012
Last updated
04/11/2022
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