Provider Demographics
NPI:1013120856
Name:TLC THE LASER CENTER (CAROLINA) INC.
Entity Type:Organization
Organization Name:TLC THE LASER CENTER (CAROLINA) INC.
Other - Org Name:TLC LASER EYE CENTERS CAROLINA
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:636-534-2360
Mailing Address - Fax:
Practice Address - Street 1:10321 LUMLEY RD
Practice Address - Street 2:STE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8640
Practice Address - Country:US
Practice Address - Phone:919-544-8581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TLC THE LASER CENTER (NORTHEAST) INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-08
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center