LASERVUE EYE CENTER MEDICAL CORPORATION NPI 1194913103

NPI Information

NPI: 1194913103
Provider Name: LASERVUE EYE CENTER MEDICAL CORPORATION
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
3540 MENDOCINO AVE STE 200
SANTA ROSA, CA
ZIP 95403
Phone: (707) 522-6200
Get Directions

LASERVUE EYE CENTER MEDICAL CORPORATION is an ophthalmologic surgery clinic center in Santa Rosa, CA. LASERVUE EYE CENTER MEDICAL CORPORATION NPI is 1194913103. The provider is registered as an organization entity type.

The provider's business location address is:

3540 MENDOCINO AVE STE 200
SANTA ROSA, CA
ZIP 95403-639
Phone: (707) 522-6200

The provider's authorized official is Sanjay Bansal .
The authorized official title is Owner and has the following contact phone number (707) 522-6200.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 4/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	G66178	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »