Organization Active NPI

Envision Laser Centers, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Altoona, PA
National Provider Identifier
1942967799
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
ENVISION LASER CENTERS, LLC
Practice address
332 W Plank Rd
Altoona, PA 16602-3016
Phone
(814) 942-4001
Fax
(814) 942-4021
NPI assigned
Nov 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
David Vance
Title
General Manager
Phone
(814) 942-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

332 W Plank Rd
Altoona, PA 16602-3016

Mailing address

332 W Plank Rd
Altoona, PA 16602-3016
Phone (814) 942-4001

Other names 1

  • Envision Laser Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1942967799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W PLANK RD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023016",
            "telephone_number": "814-942-4001",
            "fax_number": "814-942-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W PLANK RD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023016",
            "telephone_number": "814-942-4001",
            "fax_number": "814-942-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION LASER CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "814-942-4001"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Laser Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.