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
4150 INTERNATIONAL PLZ, SUITE 150, FORT WORTH, TX 76109-4892
(817) 763-8872
Mailing address
1555 PALM BEACH LAKES BLVD, SUITE 600, WEST PALM BEACH, FL 33401-2323
(800) 584-4150
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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