Provider Demographics
NPI:1467665067
Name:TLC THE LASER CENTER (NORTHEAST) INC.
Entity Type:Organization
Organization Name:TLC THE LASER CENTER (NORTHEAST) INC.
Other - Org Name:TLC LASER EYE CENTERS COLUMBUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-534-2300
Mailing Address - Street 1:16305 SWINGLEY RIDGE RD
Mailing Address - Street 2:STE. 300
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-1777
Mailing Address - Country:US
Mailing Address - Phone:636-534-2300
Mailing Address - Fax:
Practice Address - Street 1:8415 PULSAR PL
Practice Address - Street 2:STE. 120
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-4032
Practice Address - Country:US
Practice Address - Phone:614-431-8079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center