Provider Demographics
NPI:1457565285
Name:TLC THE LASER CENTER (INSTITUTE) INC.
Entity Type:Organization
Organization Name:TLC THE LASER CENTER (INSTITUTE) INC.
Other - Org Name:TLC LASER EYE CENTERS GREENVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARALEGAL
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 1:30 PATEWOOD DR
Practice Address - Street 2:BLDG. 1, STE. 140
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-6807
Practice Address - Country:US
Practice Address - Phone:864-297-6299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center