Organization
LASERVUE EYE CENTER MEDICAL CORPORATION
Active
Organization
LASERVUE EYE CENTER MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY BANSAL M.D. (OWNER)
(707) 522-6200
Entity
Organization
Contact information
Practice address
3540 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3639
(707) 522-6200
Mailing address
3540 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3639
(707) 522-6200
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
G66178
CA
Other
Enumeration date
10/04/2007
Last updated
04/03/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up