LASER VISION SURGERY CENTER LLC (NPI# 1528274719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528274719 |
| Entity Type | Organization |
| Organization Name | LASER VISION SURGERY CENTER LLC |
| Practice Address |
178 Hartford Rd Manchester CT 06040-5986 |
| Practice Telephone | 8606499973 |
| Mailing Telephone | 8606499973 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | MARY HERNANDEZ (BILLING MANAGER) |
| Authorized Official Telephone | 8606433900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0163 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | EYEMED | 117819 | 01 |
| CT | OXFORD | A2021364 | 01 |
| CT | SPECTRA | 17402 | 01 |
| CT | ANTHEM | 352 | 01 |
| CT | AETNA | 2380780 | 01 |
| CT | MEDICAID | 004207032 | 01 |
| CT | RAILROAD MEDICARE | 490004322 | 01 |
| CT | HEALTH NET | IV7858 | 01 |
| CT | COLE MANAGED | 20472 | 01 |
| CT | CONNECTICARE | 774128 | 01 |
| Street Address |
178 HARTFORD RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376591198 | Nancy Elizabeth Nelson | Physical Therapist | 178 Hartford Rd, #210, Manchester, CT 06040-5986 | 2006-05-04 |
| 1841818804 | Reshma Patel | Optometrist | 178 Hartford Rd, Manchester, CT 06040-5986 | 2020-07-07 |
| 1407152887 | Olga Rozman | Physical Therapist | 178 Hartford Rd, Ste 210, Manchester, CT 06040-5986 | 2011-02-02 |
| 1780838805 | Jason Ronald Delisle | Optometrist | 178 Hartford Rd, Manchester, CT 06040-5986 | 2008-11-17 |
| 1053591214 | Richard A Fichman Md PC | Technician/Technologist | 178 Hartford Rd, Manchester, CT 06040-5986 | 2007-11-05 |
| 1013026988 | Robert C. Cushing | Optometrist | 178 Hartford Rd, Manchester, CT 06040-5986 | 2006-08-30 |
| 1851406276 | Richard A. Fichman, Md PC | Optometrist | 178 Hartford Rd, Manchester, CT 06040-5986 | 2006-08-19 |
| 1134232424 | Richard A. Fichman | Ophthalmology | 178 Hartford Rd, Manchester, CT 06040-5986 | 2006-08-17 |
| 1518976489 | Christine Bergeron | Physical Therapist | 178 Hartford Rd, 210, Manchester, CT 06040 | 2006-08-07 |
| 1891732160 | Comprehensive Physical Therpy PC | Physical Therapist | 178 Hartford Rd, Suite 210, Manchester, CT 06040-5986 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1245291350 | Elliot 1 Day Surgery Center | Clinic/Center | 185 Queen City Avenue, Manchester, NH 03101 | 2006-03-29 |
| 1326267154 | Plastic Surgery Pa | Clinic/Center | 57 Bay St, Manchester, NH 03104-3005 | 2007-04-24 |
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| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1083188478 | Rocky Hill Surgery Center, LLC | Clinic/Center | 1111 Cromwell Ave Ste 100, Rocky Hill, CT 06067-3449 | 2019-01-18 |
| 1922576818 | Greater New Haven Asc, LLC | Clinic/Center | 2080 Whitney Ave Ste 100, Hamden, CT 06518-3603 | 2018-11-08 |
| 1396120168 | Stamford Asc LLC | Clinic/Center | 200 First Stamford Pl, Stamford, CT 06902-6753 | 2015-07-22 |
| 1821332370 | River Valley Asc LLC | Clinic/Center | 45 Salem Tpke, Norwich, CT 06360-6533 | 2012-11-22 |
| 1164732426 | Norwalk Surgery Center, LLC | Clinic/Center | 40 Cross St Ste 120, Norwalk, CT 06851-4698 | 2010-10-20 |
| 1326356320 | Orthopaedic & Neurosurgery Center of Greenwich, LLC | Clinic/Center | 55 Holly Hill Lane, Greenwich, CT 06830 | 2010-09-24 |
| 1053628883 | Plastic Surgery of So Ct | Clinic/Center | 208 Post Rd W, Westport, CT 06880-4604 | 2010-08-31 |
| 1932438553 | Middlesex Center for Advanced Orthopedic Surgery, LLC | Clinic/Center | 510 Saybrook Road, Middletown, CT 06457-4711 | 2009-12-10 |
| 1497904296 | International Cosmetic Surgery | Clinic/Center | 2 Mercia Ln, Greenwich, CT 06830-7068 | 2008-09-17 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.