Individual
DR. KATHY A DESLAURIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4830 MAIN ST, SHALLOTTE, NC 28470-1912
(910) 754-2020
(910) 754-8811
Mailing address
PO BOX 867, SHALLOTTE, NC 28459-0867
(910) 754-2020
(910) 754-8811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09222
BLUE CROSS BLUE SHIELD OF NC
NC
01
—
1518910454
RAILROAD MEDICARE
NC
05
—
890158B
—
NC
Enumeration date
05/19/2006
Last updated
01/29/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us