NPIMap

Organization Active NPI

The Lasik Vision Institute LLC

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1497894976
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006-00412 Issued in FL
Legal business name
THE LASIK VISION INSTITUTE LLC
Practice address
5550 Glades Rd
Ste 400
Boca Raton, FL 33431-7205
Phone
(561) 417-8772
Fax
(561) 417-8428
NPI assigned
Feb 5, 2007
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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2006-00412 FL Primary

Addresses

Primary practice location

5550 Glades Rd
Ste 400
Boca Raton, FL 33431-7205

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

5550 Glades Rd
Ste 400
Boca Raton, FL 33431
Phone (561) 417-8772

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": "1497894976",
    "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": "5550 GLADES RD",
            "address_2": "STE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317205",
            "telephone_number": "561-417-8772",
            "fax_number": "561-417-8428"
        }
    ],
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2006-00412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, 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.