The Lasik Vision Institute LLC
Clinic/Center, Ophthalmologic Surgery in Grand Rapids, MI. Organization (NPI-2).
NPI number1508304577
StatusActive
Last updated in NPPESFeb 9, 2017
Details
- NPI
- 1508304577
- Entity type
- Organization (NPI-2)
- Legal business name
- The Lasik Vision Institute LLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2017
- Last updated
- Feb 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS0132X | Clinic/Center, Ophthalmologic Surgery | – | – | Yes |
Practice location
2900 Charlevoix Dr SeSuite # 100
Grand Rapids, MI 49546-7085
Phone 616-942-8331
Mailing address
1555 Palm Beach Lakes BlvdSuite 600
West Palm Beach, FL 33401-2323
Phone 561-965-9110
Authorized official
Ben Cook
President
5619659110
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