Organization Active NPI

The Lasik Vision Institute, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1174881486
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
THE LASIK VISION INSTITUTE, LLC
Practice address
5210 Belfort Rd
Suite 110
Jacksonville, FL 32256-6024
Phone
(561) 965-9110
Fax
(706) 243-4627
NPI assigned
Apr 25, 2012
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mr. Ben Cook
Title
President
Phone
56919659110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU Primary

Addresses

Primary practice location

5210 Belfort Rd
Suite 110
Jacksonville, FL 32256-6024

Mailing address

2000 Palm Beach Lakes Blvd
Suite 800
West Palm Beach, FL 33409-6503
Phone (561) 965-9110

National Provider Directory

National Provider Directory
Tax ID family
The Lasik Vision Institute LLC66 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

5210 Belfort Rd
Ste 110
Jacksonville, FL 32256
Phone (904) 296-2138

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1174881486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096503",
            "telephone_number": "561-965-9110",
            "fax_number": "706-243-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 BELFORT RD",
            "address_2": "SUITE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566024",
            "telephone_number": "561-965-9110",
            "fax_number": "706-243-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LASIK VISION INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "56919659110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.