Organization
THE LASIK VISION INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN COOK (COO)
(561) 965-9110
Entity
Organization
Contact information
Practice address
7501 W LAKE MEAD BLVD, STE 104, LAS VEGAS, NV 89128-0275
(702) 804-5556
(702) 804-1635
Mailing address
2000 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33409-6503
(561) 965-9110
(706) 243-4627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
C14-000283-4-094740
NV
Other
Enumeration date
02/05/2007
Last updated
01/25/2013
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