Organization
LASER EYE INSTITUTE PA
Active
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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