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PREMIUM LASER OPHTHALMOLOGY LLC
NPI 1407995863
Ophthalmology in New York, NY

Active since February 05, 2007CLIA 33D2217744 · Waiver
125 W 79TH ST, FIRST FLOOR, NEW YORK, NY 10024(212) 580-8881 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premium Laser Ophthalmology Llc NPPES

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

PREMIUM LASER OPHTHALMOLOGY LLC (NPI 1407995863) is a healthcare organization registered as an ophthalmology in New York, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Mark L Hornfeld, Owner, as its authorized official.

NPPES Registry Identity

NPI1407995863
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePREMIUM LASER OPHTHALMOLOGY LLC
Location Address125 W 79TH ST, FIRST FLOORNew York, NY 10024-6454
Mailing Address125 West 79th Street, First FloorNew York, NY 10024 · (212) 580-8881
Phone(212) 580-8881
Organization SubpartNo
Authorized OfficialMark L HornfeldOwner · (212) 590-8881
Enumeration DateFebruary 5, 2007
Last NPPES UpdateFebruary 17, 2020
✔ NPI 1407995863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 179425
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.
125 W 79TH ST, New York, NY 10024
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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

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 33D2217744

Premium Laser Ophthalmology · Brooklyn, NY
Active · expires Mar 22, 2027
CLIA Number33D2217744
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorDr. Mark Hornfeld
Laboratory Phone(212) 580-8881
Laboratory LocationPremium Laser Ophthalmology231 South 3rd Street 3rd Floor, Brooklyn, NY 11211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. RON HORNFELD DMD
Dentist
125 W 79TH ST
NEW YORK, NY 10024
New York County (212) 875-8195
UPPER WEST SIDE MEDICAL P.L.L.C.
Ophthalmology
125 W 79TH ST
NEW YORK, NY 10024
New York County (212) 785-1059
RAPHAEL A CASTILLO MD
Ophthalmology
125 W 79TH ST
NEW YORK, NY 10024
New York County (212) 785-1059

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 Premium Laser Ophthalmology LLC's NPI number?

The NPI number for Premium Laser Ophthalmology LLC is 1407995863. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Premium Laser Ophthalmology LLC located?

Premium Laser Ophthalmology LLC is located at 125 W 79th St First Floor, New York, NY 10024. The listed phone number is (212) 580-8881.

What is Premium Laser Ophthalmology LLC's specialty?

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

Does Premium Laser Ophthalmology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2217744) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premium Laser Ophthalmology LLC was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.