WESTON LASER & VISION INSTITUTE INC NPI 1568642676

NPI Information

  • NPI: 1568642676
  • Provider Name: WESTON LASER & VISION INSTITUTE, INC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 2625 EXECUTIVE PARK DR
    SUITE 4
    WESTON, FL
    ZIP 33331
  • Phone: (954) 659-9051

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NPI Details

WESTON LASER & VISION INSTITUTE, INC is an ophthalmology in Weston, FL. 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. WESTON LASER & VISION INSTITUTE, INC NPI is 1568642676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2625 EXECUTIVE PARK DR
SUITE 4
WESTON, FL
ZIP 33331-634
Phone: (954) 659-9051
Fax: (954) 659-9052

The provider's authorized official is Srinivas Mutyala .
The authorized official title is Medical Director and has the following contact phone number (954) 659-9051.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 4/29/2024.

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
1207W00000XOphthalmologyME0076746FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000408901MEDICAIDFLORIDA
2000408900MEDICAIDFLORIDA
3000408902MEDICAIDFLORIDA

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: 3/30/2025

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