# LASER EYE SURGERY CENTER OF FLORENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laser Eye Florence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053145821
- **Authorized official:** JENNIE TATUM NICKEL RN (OR ADMINISTRATOR)
- **Authorized official phone:** (256) 863-3100

## Contact information

- **Practice address:** 4819 HUNTSVILLE RD, FLORENCE, AL 35630-2936
- **Practice address phone:** (256) 863-3100
- **Mailing address:** 2308 MARKET PL SW, HUNTSVILLE, AL 35801-5250
- **Mailing address phone:** (256) 863-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 10/28/2024