Active NPI
Laser Eye Institute PA
- Ophthalmic Technician/Technologist
- Laurinburg, NC
National Provider Identifier
1952461840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- 207W00000X
- Legal business name
- LASER EYE INSTITUTE PA
- Practice address
- 1603 Medical Dr Ste D
Laurinburg, NC 28352-5541 - Phone
- (910) 277-1411
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Dee Marcum
- Title
- Office Manager
- Phone
- (910) 277-1411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | 207W00000X | NC | Primary |
Addresses
Primary practice location
1603 Medical Dr Ste D
Laurinburg, NC 28352-5541
Mailing address
1603 Medical Dr Ste D
Laurinburg, NC 28352-5541
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8911517 | Medicaid | NC | |
| N00585 | Medicaid | SC | |
| 0109A | Other | NC | BCBS OF NC |
Other names 1
- THE LASER EYE INSTITUTE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1603 Medical Dr
Ste D
Laurinburg, NC 28352
Phone (910) 277-1411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Laurinburg, NC
- NPI 1952330862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1952461840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 MEDICAL DR STE D",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283525541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 MEDICAL DR STE D",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283525541",
"telephone_number": "910-277-1411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASER EYE INSTITUTE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "MARCUM",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "DEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "910-277-1411"
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ophthalmic",
"state": "NC",
"license": "207W00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911517",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N00585",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "0109A",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE LASER EYE INSTITUTE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.