Glaucoma Laser Center Pc
LBN: Glaucoma Laser Center Pc
Glaucoma Laser Center Pc is an health care organization with primary practice located at 160 Kingsley Ln Ste 300, Norfolk VA 23505-4600. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is the primary health care specialty.
Glaucoma Laser Center Pc can be contacted via phone (757) 440-1144, or through Kerner, Dawnielle J via phone (757) 440-1144.
Contact Information
Primary practice address
160 Kingsley Ln Ste 300
Norfolk VA 23505-4600
Phone: (757) 440-1144
Fax: (757) 440-1117
Website:
Authorized official contact:
Name: Kerner, Dawnielle J Doctor of Medicine (MD)
Phone: (757) 440-1144
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 0101052595 | Virginia |
Profile Details
| NPI number | 1891791521 |
|---|---|
| LBN Legal business name | Glaucoma Laser Center Pc |
| DBA Doing business as | |
| Authorized official | Kerner, Dawnielle J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891791521 | NPPES |
| Virginia | MEDICAID | 006304869 | |
| Virginia | Other | 242315 |
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