Organization Active NPI

Laser Vision Care Center & Associates PLLC

  • Ophthalmology Physician
  • Ypsilanti, MI
National Provider Identifier
1073868170
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301068565 Issued in MI
Legal business name
LASER VISION CARE CENTER & ASSOCIATES PLLC
Practice address
3145 W Clark Rd Ste 104
Ypsilanti, MI 48197-1120
Phone
(734) 434-9830
Fax
(734) 434-9832
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Said Issa
Title
President
Phone
(734) 434-9830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 4301068565 MI Primary

Addresses

Primary practice location

3145 W Clark Rd Ste 104
Ypsilanti, MI 48197-1120

Mailing address

3145 W Clark Rd Ste 104
Ypsilanti, MI 48197-1120
Phone (734) 434-9830

National Provider Directory

National Provider Directory

Locations

23522 Michigan Ave
Dearborn, MI 48124
Phone (313) 724-2733

3145 W Clark Rd
Ste 104
Ypsilanti, MI 48197
Phone (734) 434-9830

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1073868170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD STE 104",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-434-9830",
            "fax_number": "734-434-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD STE 104",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-434-9830",
            "fax_number": "734-434-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER VISION CARE CENTER & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-434-9830",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301068565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.