# LASERVUE, LLC

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

## Provider details

- **NPI number:** 1114562626
- **Authorized official:** KOUROSH NAZARI MD (PRESIDENT)
- **Authorized official phone:** (407) 470-9798

## Contact information

- **Practice address:** 5530 WISCONSIN AVE STE 1209, CHEVY CHASE, MD 20815-4301
- **Practice address phone:** (301) 363-2450
- **Practice address fax:** (301) 363-2455
- **Mailing address:** 5530 WISCONSIN AVE STE 1209, CHEVY CHASE, MD 20815-4301
- **Mailing address phone:** (301) 363-2450
- **Mailing address fax:** (301) 363-2455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2019
- **Last updated:** 11/08/2019