Organization
CABARRUS EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT K. LARK M. D. (PRESIDENT)
(704) 782-1127
Entity
Organization
Contact information
Practice address
201 LEPHILLIP COURT NE, CONCORD, NC 28025-2900
(704) 782-1127
(704) 782-1207
Mailing address
201 LEPHILLIP COURT NE, CONCORD, NC 28025-2900
(704) 782-1127
(704) 782-1207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01147
BLUE CROSS BLUE SHIELD
NC
05
—
8901147
—
NC
01
—
CA3344
MEDICARE RAILROAD
NC
Enumeration date
04/19/2006
Last updated
03/18/2008
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