Organization Active NPI

Laser Vision Partners Inc

  • Optometrist
  • Rancho Cordova, CA
National Provider Identifier
1750423406
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LASER VISION PARTNERS INC
Practice address
2868 Prospect Park Dr
Suite 150
Rancho Cordova, CA 95670-6020
Phone
(916) 635-2320
Fax
(916) 635-3687
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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 Primary

Addresses

Primary practice location

2868 Prospect Park Dr
Suite 150
Rancho Cordova, CA 95670-6020

Mailing address

1555 Palm Beach Lakes Blvd
Ste 600
West Palm Beach, FL 33401-2323
Phone (561) 965-9110

National Provider Directory

National Provider Directory

Locations

2868 Prospect Park Dr
Ste 150
Rancho Cordova, CA 95670
Phone (916) 635-2320

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1750423406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PALM BEACH LAKES BLVD",
            "address_2": "STE 600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012323",
            "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": "2868 PROSPECT PARK DR",
            "address_2": "SUITE 150",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706020",
            "telephone_number": "916-635-2320",
            "fax_number": "916-635-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER VISION PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-08-23",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.