EYE SURGERY AND LASER CLINIC, INC.
NPI 1093779951
Clinic/Center - Ambulatory Surgical in Concord, NC
About Eye Surgery And Laser Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE SURGERY AND LASER CLINIC, INC. (NPI 1093779951) is a healthcare organization registered as an ambulatory surgical in Concord, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists David K. Harper, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eye Surgery And Laser Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Eye Surgery And Laser Clinic, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2091337
Eye Surgery And Laser Clinic, Inc · Concord, NCAreas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eye Surgery And Laser Clinic, Inc.'s NPI number?
The NPI number for Eye Surgery And Laser Clinic, Inc. is 1093779951. It was assigned to this organization in the NPPES registry on April 17, 2006.
Where is Eye Surgery And Laser Clinic, Inc. located?
Eye Surgery And Laser Clinic, Inc. is located at 500 Lake Concord Rd, Concord, NC 28025. The listed phone number is (704) 782-1127.
What is Eye Surgery And Laser Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Eye Surgery And Laser Clinic, Inc. enrolled in Medicare?
Yes. Eye Surgery And Laser Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is Eye Surgery And Laser Clinic, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Ambulatory Surgical Center) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Eye Surgery And Laser Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Eye Surgery And Laser Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eye Surgery And Laser Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2091337) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Eye Surgery And Laser Clinic, Inc. accept?
Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Eye Surgery And Laser Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eye Surgery And Laser Clinic, Inc. was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eye Surgery And Laser Clinic, Inc. · NPI 1093779951
Ambulatory Surgical organization in Concord, North Carolina. Organization record, active in the CMS NPPES registry since April 17, 2006.
## Identity
- **NPI:** 1093779951 (Entity type: Organization)
- **Enumerated:** April 17, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** David Harper, PRESIDENT
## Practice location
- **Address:** 500 LAKE CONCORD RD, Concord, NC 28025-2926
- **Phone:** (704) 782-1127 · **Fax:** (704) 782-1207
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Carolina, Ambulatory Surgical Center) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2008
- **Other identifiers:** Other 805608 (NC); Medicaid 3409839 (NC); Other 00618 (NC); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093779951) · Data from the CMS NPPES public registry.