Organization Active NPI

Laser Defined Vision

  • Ophthalmology Physician
  • Greensboro, NC
National Provider Identifier
1396011003
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LASER DEFINED VISION
Practice address
1002 N Church St Ste 102
Greensboro, NC 27401-1447
Phone
(336) 854-4441
NPI assigned
Mar 27, 2012
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Karl G Stonecipher, MDNPI 1427172246
Title
Owner
Phone
(336) 851-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1002 N Church St Ste 102
Greensboro, NC 27401-1447

Mailing address

PO Box 39148
Greensboro, NC 27438-9148
Phone (336) 851-7500

Other identifiers 1

IdentifierTypeStateIssuer
1427172246OtherNCINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000877 NC Part B Supplier - Clinic/Group Practice 2062677297 Receives reassigned benefits from 2 practitioners
Practice locations: Greensboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2075545Laser Defined Vision1002 N Church Street, Suite 101, Greensboro, NC 27401Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Locations

1002 N Church St
Ste 101
Greensboro, NC 27401
Phone (336) 288-8823

1002 N Church St
Ste 102
Greensboro, NC 27401
Phone (336) 378-0713

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1396011003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39148",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274389148",
            "telephone_number": "336-851-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST STE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011447",
            "telephone_number": "336-854-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER DEFINED VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "STONECIPHER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-851-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427172246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.