# NEW LASER EYE CENTER OF MIAMI, INC.

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

## Provider details

- **NPI number:** 1386045904
- **Authorized official:** GABRIEL GEORGE LAZCANO M.D. (OWNER / PRESIDENT)
- **Authorized official phone:** (305) 461-2400

## Contact information

- **Practice address:** 1661 SW 37TH AVE, MIAMI, FL 33145-1754
- **Practice address phone:** (305) 461-2400
- **Practice address fax:** (305) 461-2902
- **Mailing address:** 1661 SW 37TH AVE, MIAMI, FL 33145-1754
- **Mailing address phone:** (305) 461-2400
- **Mailing address fax:** (305) 461-2902

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 09/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A0D | BCBS | FL |
| 05 | — | 013442800 | — | FL |