DR. KATHY A DESLAURIERS (NPI# 1518910454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518910454 |
| Entity Type | Individual |
| Full Name | DR. KATHY A DESLAURIERS |
| Credential | O.D. |
| Practice Address |
4830 Main St Shallotte NC 28470-1912 |
| Mailing Address |
Po Box 867 Shallotte NC 28459-0867 |
| Practice Telephone | 9107542020 |
| Practice Fax Number | 9107548811 |
| Mailing Telephone | 9107542020 |
| Mailing Fax Number | 9107548811 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1316 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 1518910454 | 01 |
| NC | 890158B | 05 | |
| NC | BLUE CROSS BLUE SHIELD OF NC | 09222 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578016606 | Kathy Jean Deslauriers | Speech-Language Pathologist | 3501 E 49th St, Sioux Falls, SD 57103-5849 | 2016-07-25 |
| Street Address |
4830 MAIN ST |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768012 | Dr. Christopher J. Moshoures Optometrist Pa | Optometrist | 4830 Main St, Shallotte, NC 28470-1912 | 2006-05-19 |
| 1447865357 | Corey Burr | Optometrist | 4830 Main St, Shallotte, NC 28470-1863 | 2020-09-09 |
| 1750479838 | Stephanie Renae Hardy | Optometrist | 4830 Main St, Shallotte, NC 28470-1863 | 2006-10-11 |
| 1164539763 | Debra C Webb | Optometrist | 4830 Main St, Shallotte, NC 28470-1912 | 2006-08-23 |
| 1770537268 | Christopher J Moshoures | Optometrist | 4830 Main St, Shallotte, NC 28470-1912 | 2006-05-20 |
| 1326092727 | Elizabeth J Cooke | Optometrist | 4830 Main St, Shallotte, NC 28470-1912 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609336981 | Open Gate Counseling Services Pllc | Counselor | 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 | 2019-03-22 |
| 1689188286 | Justice Pharmacy,inc | Pharmacy | 301 S Willis Dr, #112, Shallotte, NC 28470 | 2017-11-20 |
| 1609224914 | Emergeortho, Pa | Orthopaedic Surgery | 5160 Ocean Highway West, Shallotte, NC 28470 | 2016-05-26 |
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1265741128 | Janet Rhyne Martin | Speech-Language Pathologist | 4902 Main Street, Suite D, Shallotte, NC 28470 | 2010-09-27 |
| 1225261555 | Jason Keeley Riemann | Chiropractor | 4911 Bridgers Rd, Shallotte, NC 28470 | 2009-09-03 |
| 1215108972 | Frederick A. Williams,dmd, Pa | Dentist | 343 Whiteville Road, Shallotte, NC 28470 | 2008-03-20 |
| 1053599316 | Brian Salvatore Lank | Chiropractor | 728 Village Rd, Sw, Shallotte, NC 28470 | 2008-02-08 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1235267766 | Edmond Cochard | Psychologist | 120 Coastal Horizons Drive, Shalotte, NC 28470 | 2007-02-28 |
| Find all providers in zip 28470 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768012 | Dr. Christopher J. Moshoures Optometrist Pa | Optometrist | 4830 Main St, Shallotte, NC 28470-1912 | 2006-05-19 |
| 1447865357 | Corey Burr | Optometrist | 4830 Main St, Shallotte, NC 28470-1863 | 2020-09-09 |
| 1235506833 | Jill A Greene | Optometrist | 4637 Main St, Shallotte, NC 28470-4453 | 2015-08-31 |
| 1285803189 | J. Mark Saunders O D P A | Optometrist | 4637 Main St, Shallotte, NC 28470-4453 | 2008-02-25 |
| 1386721314 | J. Mark Saunders | Optometrist | 4637 Main St, Shallotte, NC 28470-4453 | 2006-11-01 |
| 1750479838 | Stephanie Renae Hardy | Optometrist | 4830 Main St, Shallotte, NC 28470-1863 | 2006-10-11 |
| 1164539763 | Debra C Webb | Optometrist | 4830 Main St, Shallotte, NC 28470-1912 | 2006-08-23 |
| 1477594844 | Tiffany Le | Optometrist | 4540 Main St, Shallotte, NC 28459-3079 | 2006-06-09 |
| 1770537268 | Christopher J Moshoures | Optometrist | 4830 Main St, Shallotte, NC 28470-1912 | 2006-05-20 |
| 1326092727 | Elizabeth J Cooke | Optometrist | 4830 Main St, Shallotte, NC 28470-1912 | 2006-05-20 |
| Find all providers in SHALLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.