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Organization
LASER AND VISION SURGERY CENTER, LLC
Active
Organization
LASER AND VISION SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CASTALDI (CHIEF COMPLIANCE OFFICER)
(860) 643-3900
Entity
Organization
Contact information
Practice address
178 HARTFORD RD, MANCHESTER, CT 06040-5986
(860) 649-9973
Mailing address
178 HARTFORD RD, MANCHESTER, CT 06040-5986
(860) 649-9973
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0163
CT
Other
Enumeration date
05/15/2007
Last updated
09/09/2021
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