PROVISION LASER EYE CENTER PA
NPI 1184616146
Ophthalmology in Venice, FL
About Provision Laser Eye Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVISION LASER EYE CENTER PA (NPI 1184616146) is a healthcare organization registered as an ophthalmology in Venice, Florida and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Scott P Durrett, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Provision Laser Eye Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Provision Laser Eye Center PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1100336
Provision Laser Eye Center · Venice, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Provision Laser Eye Center PA's NPI number?
The NPI number for Provision Laser Eye Center PA is 1184616146. It was assigned to this organization in the NPPES registry on August 16, 2005.
Where is Provision Laser Eye Center PA located?
Provision Laser Eye Center PA is located at 1191 Jacaranda Blvd, Venice, FL 34292. The listed phone number is (941) 493-0311.
What is Provision Laser Eye Center PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Provision Laser Eye Center PA enrolled in Medicare?
Yes. Provision Laser Eye Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Provision Laser Eye Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Provision Laser Eye Center PA, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Provision Laser Eye Center PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1100336) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Provision Laser Eye Center PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) list Provision Laser Eye Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Provision Laser Eye Center PA was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Provision Laser Eye Center Pa · NPI 1184616146
Ophthalmology organization in Venice, Florida. Organization record, active in the CMS NPPES registry since August 16, 2005.
## Identity
- **NPI:** 1184616146 (Entity type: Organization)
- **Enumerated:** August 16, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Scott Durrett, OWNER
## Practice location
- **Address:** 1191 JACARANDA BLVD, Venice, FL 34292-4518
- **Phone:** (941) 493-0311 · **Fax:** (941) 492-4655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (1), Optometry (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2011
- **Other identifiers:** Medicare PIN K5933 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184616146) · Data from the CMS NPPES public registry.