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LASERVUE EYE CENTER MEDICAL CORPORATION
NPI 1194913103
Clinic/Center - Ophthalmologic Surgery in Santa Rosa, CA

Active since October 04, 2007CLIA 05D1070174 · Waiver
3540 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403(707) 522-6200 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laservue Eye Center Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASERVUE EYE CENTER MEDICAL CORPORATION (NPI 1194913103) is a healthcare organization registered as an ophthalmologic surgery in Santa Rosa, California and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sanjay Bansal, Owner, as its authorized official.

NPPES Registry Identity

NPI1194913103
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameLASERVUE EYE CENTER MEDICAL CORPORATION
Location Address3540 MENDOCINO AVE STE 200Santa Rosa, CA 95403-3639
Mailing Address3540 Mendocino Ave Ste 200Santa Rosa, CA 95403-3639 · (707) 522-6200
Phone(707) 522-6200
Organization SubpartNo
Authorized OfficialSanjay BansalOwner · (707) 522-6200
Enumeration DateOctober 4, 2007
Last NPPES UpdateApril 3, 2013
✔ NPI 1194913103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
License✔ Licensed in CA · G66178
3540 MENDOCINO AVE STE 200, Santa Rosa, CA 95403
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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 05D1070174

Laservue Eye Center · Santa Rosa, CA
Active · expires Apr 4, 2028
CLIA Number05D1070174
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSanjay Bansal
Laboratory Phone(707) 522-6200
Laboratory LocationLaservue Eye Center3540 Mendocino Ave, Ste 200, Santa Rosa, CA 95403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
259 services145 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
215 services107 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
134 services93 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
130 services64 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
109 services56 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
86 services27 patients

Other Providers at the Same Location NPPES 3

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

NICOLE MARIE LITHGOW OD
Optometrist
3540 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 522-6200
SWATI SINGH M.D.
Ophthalmology
3540 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 522-6200
DR. TOM TSENG O.D.
Optometrist
3540 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 522-6200

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 Laservue Eye Center Medical Corporation's NPI number?

The NPI number for Laservue Eye Center Medical Corporation is 1194913103. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Laservue Eye Center Medical Corporation located?

Laservue Eye Center Medical Corporation is located at 3540 Mendocino Ave Ste 200, Santa Rosa, CA 95403. The listed phone number is (707) 522-6200.

What is Laservue Eye Center Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

Does Laservue Eye Center Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1070174) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laservue Eye Center Medical Corporation was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.