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PREMIUM LASER OPHTHALMOLOGY LLC NPI 1407995863


NPI Information

NPI: 1407995863
Provider Name: PREMIUM LASER OPHTHALMOLOGY LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 33D2151187

Address:
125 W 79TH ST
FIRST FLOOR
NEW YORK, NY
ZIP 10024
Phone: (212) 580-8881
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PREMIUM LASER OPHTHALMOLOGY LLC is an ophthalmology in New York, NY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PREMIUM LASER OPHTHALMOLOGY LLC NPI is 1407995863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 W 79TH ST
FIRST FLOOR
NEW YORK, NY
ZIP 10024-454
Phone: (212) 580-8881

The provider's authorized official is Mark L Hornfeld .
The authorized official title is Owner and has the following contact phone number (212) 590-8881.

The CLIA number assigned to this NPI record is 33D2151187 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 2/17/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology179425NEW YORKYes

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: 4/28/2024

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