# LASER AND VISION SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1528274719
- **Authorized official:** ANDREW CASTALDI (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (860) 643-3900

## Contact information

- **Practice address:** 178 HARTFORD RD, MANCHESTER, CT 06040-5986
- **Practice address phone:** (860) 649-9973
- **Mailing address:** 178 HARTFORD RD, MANCHESTER, CT 06040-5986
- **Mailing address phone:** (860) 649-9973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0163 | CT | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 09/09/2021
