Organization
THE LASIK VISION INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN COOK (PRESIDENT)
(800) 584-4150
Entity
Organization
Contact information
Practice address
7850 JEFFERSON STREET NE, SUITE 160, ALBUQUERQUE, NM 87109
(505) 821-1457
(505) 821-3823
Mailing address
2000 PLAM BEACH LAKES BLVD, SUITE 800, WEST PLAM BEACH, FL 33409
(800) 584-4150
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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