PROVISION LASER EYE CENTER PA
NPI 1184616146
Ophthalmology in Venice, FL

Q: 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.

Q: What is Provision Laser Eye Center PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since August 16, 2005CLIA 10D1100336 · Waiver

1191 JACARANDA BLVD, VENICE, FL 34292(941) 493-0311(941) 492-4655 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1184616146

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NamePROVISION LASER EYE CENTER PA

Location Address1191 JACARANDA BLVDVenice, FL 34292-4518

Mailing Address1191 Jacaranda BlvdVenice, FL 34292-4518 · (941) 493-0311 · Fax (941) 492-4655

Phone(941) 493-0311

Fax(941) 492-4655

Organization SubpartNo

Authorized OfficialScott P DurrettOwner · (941) 493-0311

Enumeration DateAugust 16, 2005

Last NPPES UpdateDecember 21, 2011

✔ NPI 1184616146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1191 JACARANDA BLVD, Venice, FL 34292

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Other Identifiers 1

Medicare PINK5933FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

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, FL

Active · expires Jun 3, 2027

CLIA Number10D1100336

Laboratory TypePhysician Office

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorScott Durrett

Laboratory Phone(941) 493-0311

Laboratory LocationProvision Laser Eye Center1191 Jacaranda Blvd, Venice, FL 34292

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVISION LASER EYE CENTER PA

Durable Medical Equipment & Medical Supplies

1191 JACARANDA BLVD
VENICE, FL 34292

Sarasota County (941) 493-0311

Frequently 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.

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.