# COLONIE ASC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Specialty Eye Surgery & Laser Center of the Capital Region
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316499452
- **Authorized official:** DR. EDWARD J WLADIS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (518) 423-7784

## Contact information

- **Practice address:** 207 TROY-SCHENECTADY RD, COLONIE, NY 12110
- **Practice address phone:** (518) 423-7784
- **Mailing address:** 207 TROY SCHENECTADY RD, LATHAM, NY 12110-5446
- **Mailing address phone:** (518) 538-9128
- **Mailing address fax:** (518) 389-2933

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 03/12/2020