Organization Active NPI

The Lasik Vision Institute, LLC

  • Optometrist
  • Tampa, FL
National Provider Identifier
1336288836
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
164010 Issued in FL
Legal business name
THE LASIK VISION INSTITUTE, LLC
Practice address
3030 N Rocky Point Dr W
Ste 170
Tampa, FL 33607-5803
Phone
(813) 914-8359
Fax
(813) 282-9652
NPI assigned
Feb 5, 2007
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Mr. Ben Cook
Title
Coo
Phone
(561) 965-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 164010 FL Primary

Addresses

Primary practice location

3030 N Rocky Point Dr W
Ste 170
Tampa, FL 33607-5803

Mailing address

2000 Palm Beach Lakes Blvd
Ste 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

3030 N Rocky Point Dr W
Ste 170
Tampa, FL 33607
Phone (262) 794-0969

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1336288836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD",
            "address_2": "STE 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": "3030 N ROCKY POINT DR W",
            "address_2": "STE 170",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075803",
            "telephone_number": "813-914-8359",
            "fax_number": "813-282-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LASIK VISION INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-965-9110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "164010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.