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LASER EYE SURGERY OF ERIE INC NPI 1588751713


NPI Information

NPI: 1588751713
Provider Name: LASER EYE SURGERY OF ERIE, INC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 39D2087090

Address:
311 W 24TH ST
SUITE 401
ERIE, PA
ZIP 16502
Phone: (814) 455-7591
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LASER EYE SURGERY OF ERIE, INC is an ophthalmology in Erie, PA. 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. LASER EYE SURGERY OF ERIE, INC NPI is 1588751713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

311 W 24TH ST
SUITE 401
ERIE, PA
ZIP 16502-666
Phone: (814) 455-7591
Fax: (814) 452-6911

The provider's authorized official is Robert Frederick Haverly .
The authorized official title is President and has the following contact phone number (814) 455-7591.

The CLIA number assigned to this NPI record is 39D2087090 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 11/4/2016.


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
1207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AA1204MEDICARE PINNEW YORK
29318421MEDICARE PINOHIO
30739350001MEDICARE NSCPENNSYLVANIA
4T72499MEDICARE UPINPENNSYLVANIA
5W95003MEDICARE UPINNEW YORK
6818196MEDICARE PINPENNSYLVANIA

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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