Provider Demographics
NPI:1578868253
Name:C. HARRISON LANCASTER, JR., O.D., P.A.
Entity Type:Organization
Organization Name:C. HARRISON LANCASTER, JR., O.D., P.A.
Other - Org Name:LOUISBURG EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:C.
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:919-496-2328
Mailing Address - Street 1:129 SHANNON VLG
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2605
Mailing Address - Country:US
Mailing Address - Phone:919-496-2328
Mailing Address - Fax:919-496-6810
Practice Address - Street 1:129 SHANNON VLG
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2605
Practice Address - Country:US
Practice Address - Phone:919-496-2328
Practice Address - Fax:919-496-6810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1420152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty