Provision Laser Eye Center PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROVISION LASER EYE CENTER PA

Practice address

1191 Jacaranda Blvd
Venice, FL 34292-4518

Phone

(941) 493-0311

Fax

(941) 492-4655

NPI assigned

Feb 2, 2007

Last updated

Dec 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott P Durrett, M.D.NPI 1558366898

Title

Owner

Phone

(941) 493-0311

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott P Durrett, MD

  • Ophthalmology Physician
  • Venice, FL
  • NPI 1558366898
  Authorized official Same address or phone

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1316085111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924518",
            "telephone_number": "941-493-0311",
            "fax_number": "941-492-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924518",
            "telephone_number": "941-493-0311",
            "fax_number": "941-492-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION LASER EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "DURRETT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-493-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Anesthesia Associates of Venice
• Professional Case Management of Southwest FL
• Progressive Recovery
• Prosthetic & Orthotic Services, Inc.
• Provision Laser Eye Center PA
• Psych Services Incorporated
• Publix Super Markets Inc (Publix Pharmacy #1215)
• Publix Super Markets Inc (Publix Pharmacy #0734)
• Publix Super Markets Inc (Publix Pharmacy #0802)
• Publix Super Markets, Inc (Publix Pharmacy #1769)

• Durable Medical Equipment & Medical Supplies in Venice, FL
• Providers in Venice, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.