Organization
CAROLINA EYE CARE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WAYNE LAFONE O.D. (PRESIDENT, CAROLINA EYE CARE)
(704) 892-3542
Entity
Organization
Contact information
Practice address
19607 W CATAWBA AVE, CORNELIUS, NC 28031-4002
(704) 892-3542
(704) 896-8528
Mailing address
19607 W CATAWBA AVE, CORNELIUS, NC 28031-4002
(704) 892-3542
(704) 896-8528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1266020004
DMERC REGION C
NC
01
—
DE9560
RETIRED RAILROAD MEDICARE
NC
Enumeration date
12/12/2007
Last updated
11/12/2012
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