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Export Provider Record NPI 1184616146
Provision Laser Eye Center Pa
Organization Subpart: NO
Active
NPI Number1184616146
NPI TypeNPI-2 Organization
SpecialtyOphthalmology
Provider Details
NPI1184616146
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-08-16
Last Updated2011-12-21
Authorized OfficialScott Durrett
Owner
Phone: 9414930311
Mailing Address1191 Jacaranda Blvd
Venice, FL 34292-4518
United States
Phone: (941) 493-0311 | Fax: (941) 492-4655
📍 View Map
Primary Practice Address1191 Jacaranda Blvd
Venice, FL 34292-4518
United States
Phone: (941) 493-0311 | Fax: (941) 492-4655
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207W00000X – Ophthalmology--
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About NPI 1184616146

Provision Laser Eye Center Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1184616146. The primary specialty listed is Ophthalmology. The organization is located in Venice, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1184616146?

NPI 1184616146 belongs to Provision Laser Eye Center Pa, a Ophthalmology in Venice, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1184616146 active?

The current status of NPI 1184616146 in the NPPES registry is Active. The record was last updated on 2011-12-21.

What specialty is NPI 1184616146?

NPI 1184616146 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1184616146?

You can verify NPI 1184616146 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1184616146?

The primary practice address on file for NPI 1184616146 is 1191 Jacaranda Blvd, Venice, FL 34292-4518. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1184616146 issued?

NPI 1184616146 was first issued (enumerated) on 2005-08-16. The NPPES record was last updated on 2011-12-21.

Practice Location Map

Provision Laser Eye Center Pa is located at 1191 Jacaranda Blvd, Venice, FL. Use the map below to find directions or verify the practice location.

📍 1191 Jacaranda Blvd, Venice, FL 34292-4518  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Provision Laser Eye Center Pa. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162