Organization
PROVISION LASER EYE CENTER PA
Active
Other names
Provision Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT P DURRETT M.D. (OWNER)
(941) 493-0311
Entity
Organization
Contact information
Practice address
473 S INDIANA AVE, ENGLEWOOD, FL 34223-3736
(941) 475-8532
(941) 460-0642
Mailing address
1191 JACARANDA BLVD, VENICE, FL 34292-4518
(941) 493-0311
(941) 492-4655
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
02/02/2007
Last updated
12/21/2011
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