The Lasik Vision Institute LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THE LASIK VISION INSTITUTE LLC

Practice address

3209 W 76TH St
Ste300
Edina, MN 55435-5246

Phone

(952) 929-4247

Fax

(952) 929-4262

NPI assigned

Feb 12, 2007

Last updated

Nov 17, 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

Mr. Ben Cook

Title

Coo

Phone

(561) 965-9110

Specialties & licenses 1

Addresses

Tax ID family

The Lasik Vision Institute LLC66 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1841332624",
    "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": "3209 W 76TH ST",
            "address_2": "STE300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355246",
            "telephone_number": "952-929-4247",
            "fax_number": "952-929-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LASIK VISION INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-11-17",
        "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": []
}

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• Optometrist in Edina, MN
• Providers in Edina, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.