# PREMIUM LASER OPHTHALMOLOGY 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407995863
- **Authorized official:** DR. MARK L HORNFELD DO (OWNER)
- **Authorized official phone:** (212) 590-8881

## Contact information

- **Practice address:** 125 W 79TH ST, FIRST FLOOR, NEW YORK, NY 10024-6454
- **Practice address phone:** (212) 580-8881
- **Mailing address:** 125 WEST 79TH STREET, FIRST FLOOR, NEW YORK, NY 10024
- **Mailing address phone:** (212) 580-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 179425 | NY | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 02/17/2020