Organization
LASER EYE INSTITUTE PA
Active
Other names
THE LASER EYE INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA DEE MARCUM (OFFICE MANAGER)
(910) 277-1411
Entity
Organization
Contact information
Practice address
1603 MEDICAL DR STE D, LAURINBURG, NC 28352-5541
(910) 277-1411
Mailing address
1603 MEDICAL DR STE D, LAURINBURG, NC 28352-5541
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
207W00000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109A
BCBS OF NC
NC
05
—
8911517
—
NC
05
—
N00585
—
SC
Enumeration date
12/11/2006
Last updated
03/13/2023
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