Organization
VISION SURGERY AND LASER CENTER OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BUCK MD (MEDICAL DIRECTOR)
(219) 464-8223
Entity
Organization
Contact information
Practice address
851 EASTPORT CENTRE DRIVE, VALPARAISO, IN 46383
(219) 464-8223
Mailing address
851 EASTPORT CENTRE DRIVE, VALPARAISO, IN 46383
(219) 464-8223
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
11/18/2021
Last updated
08/22/2023
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