# VISION SURGERY & LASER CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053353359
- **Authorized official:** DR. JON-MARC WESTON M.D. (OWNER)
- **Authorized official phone:** (541) 672-2020

## Contact information

- **Practice address:** 2435 NW KLINE ST, ROSEBURG, OR 97471-1687
- **Practice address phone:** (541) 672-2020
- **Practice address fax:** (541) 673-8084
- **Mailing address:** 2435 NW KLINE ST, ROSEBURG, OR 97470-1690
- **Mailing address phone:** (541) 672-2020
- **Mailing address fax:** (541) 673-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 071532 | OR | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 06/26/2015