Lasik Vision Institute, LLC
Optometrist in Colorado Springs, CO. Organization (NPI-2).
NPI number1679614366
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1679614366
- Entity type
- Organization (NPI-2)
- Legal business name
- Lasik Vision Institute, LLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2007
- Last updated
- Jul 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
355 N Academy BlvdColorado Springs, CO 80909-6605
Phone 719-550-1200
Mailing address
3801 S Congress AveLake Worth, FL 33461-4140
Authorized official
Ben Cook
Coo
5619659110
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