Organization Active NPI

Columbus Laser & Vision Institute

  • Ophthalmology Physician
  • Trevose, PA
National Provider Identifier
1255589198
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COLUMBUS LASER & VISION INSTITUTE
Practice address
4626 Street Rd
Trevose, PA 19053-6612
Phone
(866) 600-3937
Fax
(215) 354-9444
NPI assigned
Sep 4, 2008
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Robert A Columbus, O.D.
Title
V.P.
Phone
(570) 499-5851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU
Ophthalmology Physician 207W00000X PA Primary

Addresses

Primary practice location

4626 Street Rd
Trevose, PA 19053-6612

Mailing address

4626 Street Rd.
Trevose, PA 19053-6612
Phone (866) 600-3937

National Provider Directory

National Provider Directory

Locations

100 Colonial Rd
Harrisburg, PA 17109
Phone (717) 652-5063

4626 E Street Rd
Trevose, PA 19053
Phone (866) 600-3937

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1255589198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 STREET RD.",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536612",
            "telephone_number": "866-600-3937",
            "fax_number": "215-354-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536612",
            "telephone_number": "866-600-3937",
            "fax_number": "215-354-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS LASER & VISION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "COLUMBUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "570-499-5851",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.