Organization Active NPI

Lasik Plus of New York Professional Corp

  • Ophthalmologic Surgery Clinic/Center
  • Albany, NY
National Provider Identifier
1255485579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
LASIK PLUS OF NEW YORK PROFESSIONAL CORP
Practice address
12 Corporate Woods Blvd
Albany, NY 12211-2524
Phone
(518) 426-1189
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Kirk
Title
V.P. Managed Care
Phone
(800) 688-4550

Specialties & licenses 1

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

Addresses

Primary practice location

12 Corporate Woods Blvd
Albany, NY 12211-2524

Mailing address

7840 Montgomery Rd
Cincinnati, OH 45236-4301

National Provider Directory

National Provider Directory

Locations

12 Corporate Woods Blvd
Albany, NY 12211
Phone (518) 426-1189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255485579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CORPORATE WOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112524",
            "telephone_number": "518-426-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASIK PLUS OF NEW YORK PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "V.P. MANAGED CARE",
        "authorized_official_telephone_number": "800-688-4550"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.