Laservue Eye Center Medical Corporation in Santa Rosa - Ophthalmologic Surgery

Laservue Eye Center Medical Corporation - NPI 1194913103

Laservue Eye Center Medical Corporation is a Ophthalmologic Surgery in Santa Rosa, California. Laservue Eye Center Medical Corporation practices all healthcare services and medical treatments related to Ophthalmologic Surgery. The NPI Number for Laservue Eye Center Medical Corporation is 1194913103. The last update date is 2013-04-03.

Laservue Eye Center Medical Corporation's current location address is 3540 Mendocino Ave Ste 200, Santa Rosa, California. You can contact this provider via phone number 7075226200. The mailing address for Laservue Eye Center Medical Corporation is 3540 Mendocino Ave Ste 200, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Laservue Eye Center Medical Corporation
Address 3540 Mendocino Ave Ste 200, Santa Rosa, California
Phone Number 7075226200
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bansal Sanjay
Credentials M.D.
Telephone Number 7075226200

NPI Number Detail

NPI Number 1194913103
Provider Enumeration Date 2007-10-04
Last Updated Date 2013-04-03

Provider Mailing Address Detail

Address 3540 Mendocino Ave Ste 200
City Santa Rosa
State California (CA)
Post Code 954033639
Phone Number 7075226200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Ophthalmologic Surgery
Taxonomy 261Qs0132X
Licence No G66178
Definition:
Provides surgical procedures to treat eye conditions and disorders.

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FAQs about Laservue Eye Center Medical Corporation

What is the unique identification code assigned to Laservue Eye Center Medical Corporation by the Centers for Medicare & Medicaid Services?

The Laservue Eye Center Medical Corporation has been issued the NPI (National Provider Identifier) 1194913103. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Laservue Eye Center Medical Corporation is located?

The Laservue Eye Center Medical Corporation is situated at the following address: 3540 Mendocino Ave Ste 200, Santa Rosa, CA, 954033639.

What is Laservue Eye Center Medical Corporation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Laservue Eye Center Medical Corporation is Ophthalmologic Surgery, and the corresponding taxonomy classification code for this specialized field is 261Qs0132X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194913103 to Laservue Eye Center Medical Corporation?

The Centers for Medicare & Medicaid Services originally issued the 1194913103 to Laservue Eye Center Medical Corporation on 2007-10-04.

When was the information related to Laservue Eye Center Medical Corporation most recently updated or refreshed?

The details pertaining to the Laservue Eye Center Medical Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-03.

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