NPI 1063771616

Southeastern Cataract Laser Center

Organisation Ophthalmology Physician Greensboro, NC

Practice location

Address: 3312 Battleground Ave, Greensboro, NC 27410-2548
Phone: (336) 282-5000
Fax: (336) 482-3778
Mailing address: PO Box 38157, Greensboro, NC 27438-8157

Authorised official

Name: Charles Richard Epes
Title: Member/Organizer
Phone: (336) 282-5000

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 183985 (NC)

Other Ophthalmology providers in North Carolina →

Registry record

NPI: 1063771616
Entity type: Organization
NPI issued: 16 May 2012
Record last updated: 5 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.