Active NPI
Columbus Laser & Vision Institute
- Ophthalmology Physician
- Trevose, PA
National Provider Identifier
1255589198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.