Dr Kathy A Deslauriers, OD | |
4830 Main St, Shallotte, NC 28470-1912 | |
(910) 754-2020 | |
(910) 754-8811 |
Full Name | Dr Kathy A Deslauriers |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 4830 Main St, Shallotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518910454 | NPI | - | NPPES |
890158B | Medicaid | NC | |
09222 | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
1518910454 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1316 (North Carolina) | Primary |
Provider Name | Dr. Christopher J. Moshoures Optometrist Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093768012 PECOS PAC ID: 5193882603 Enrollment ID: O20090327000586 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathy A Deslauriers, OD Po Box 867, Shallotte, NC 28459-0867 Ph: (910) 754-2020 | Dr Kathy A Deslauriers, OD 4830 Main St, Shallotte, NC 28470-1912 Ph: (910) 754-2020 |
Dr. Christopher J. Moshoures Optometrist Pa Optometrist Medicare: Medicare Enrolled Practice Location: 208 Smith Ave, Shallotte, NC 28470 Phone: 910-754-2020 Fax: 910-754-8811 | |
Debra C Webb, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4830 Main St, Shallotte, NC 28470 Phone: 910-754-2020 Fax: 910-754-8811 | |
Shallotte Vision Care Optometrist Medicare: Medicare Enrolled Practice Location: 4637 Main St, Shallotte, NC 28470 Phone: 910-754-9687 Fax: 910-755-9891 | |
Dr. Elizabeth J Cooke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4830 Main St, Shallotte, NC 28470 Phone: 910-754-2020 Fax: 910-754-8811 | |
J. Mark Saunders, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4637 Main St, Shallotte, NC 28470 Phone: 910-754-9687 Fax: 910-755-9891 | |
Dr. Zachery Taylor Stephenson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 208 Smith Ave,, Shallotte, NC 28470 Phone: 910-754-2020 | |
Ms. Corey Burr, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4830 Main St, Shallotte, NC 28470 Phone: 910-754-7101 Fax: 910-754-7101 |