WESTON LASER & VISION INSTITUTE, INC
NPI 1568642676
Ophthalmology in Weston, FL

Active since November 06, 2007
2625 EXECUTIVE PARK DR, SUITE 4, WESTON, FL 33331(954) 659-9051(954) 659-9052 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Weston Laser & Vision Institute, Inc NPPES

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

WESTON LASER & VISION INSTITUTE, INC (NPI 1568642676) is a healthcare organization registered as an ophthalmology in Weston, Florida and active in the NPI registry since November 2007. The organization lists Srinivas Mutyala, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1568642676
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameWESTON LASER & VISION INSTITUTE, INC
Location Address2625 EXECUTIVE PARK DR, SUITE 4Weston, FL 33331-3634
Mailing Address2625 Executive Park Dr, Suite 4Weston, FL 33331-3634 · (954) 659-9051 · Fax (954) 659-9052
Fax(954) 659-9052
Organization SubpartNo
Authorized OfficialSrinivas MutyalaMedical Director · (954) 659-9051
Enumeration DateNovember 6, 2007
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1568642676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME0076746
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.
2625 EXECUTIVE PARK DR, Weston, FL 33331

Other Identifiers 3

Medicaid000408901FL
Medicaid000408900FL
Medicaid000408902FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Weston Laser & Vision Institute, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Weston Laser & Vision Institute, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology10
Optometry2

Clinicians, nearest first (12)

Ophthalmology
NPI 1689654717
2625 EXECUTIVE PARK DR SUITE #4
Weston, FL 33331
(954) 659-9051
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1780720219
1776 N PINE ISLAND RD SUITE 214
Plantation, FL 33322
(954) 452-9922
✔ PECOS✔ Accepts Medicare7.8 mi
Ophthalmology
NPI 1841527710
1776 N PINE ISLAND RD SUITE 214
Plantation, FL 33322
(954) 452-9922
✔ PECOS✔ Accepts Medicare7.8 mi
Optometry
NPI 1407901648
20354 NW 2ND AVE
Miami, FL 33169
(305) 652-5277
✔ PECOS13 mi
Optometry
NPI 1174592562
2466 E COMMERCIAL BLVD
Fort Lauderdale, FL 33308
(954) 492-1177
✔ PECOS✔ Accepts Medicare18 mi
Ophthalmology
NPI 1932496346
4515 WILES RD STE 201
Coconut Creek, FL 33073
(954) 633-8202
✔ PECOS✔ Accepts Medicare18 mi
Ophthalmology
NPI 1801004932
2001 W SAMPLE RD STE 320
Deerfield Beach, FL 33064
(561) 322-3588
✔ PECOS✔ Accepts Medicare19 mi
Ophthalmology
NPI 1467424382
2001 W SAMPLE RD STE 320
Deerfield Beach, FL 33064
(561) 322-3588
✔ PECOS✔ Accepts Medicare19 mi
Ophthalmology
NPI 1346581634
11195 S JOG RD STE 1&2
Boynton Beach, FL 33437
(561) 752-0075
✔ PECOS✔ Accepts Medicare32 mi
Ophthalmology
NPI 1679518195
11195 S JOG RD SUITE 1&2
Boynton Beach, FL 33437
(561) 752-0075
✔ PECOS✔ Accepts Medicare32 mi
Ophthalmology
NPI 1336597434
4301 W MARKHAM ST # 523
Little Rock, AR 72205
(501) 686-5822
✔ PECOS✔ Accepts Medicare929 mi
Ophthalmology
NPI 1396030094
1919 MIDWEST RD STE 200
Oak Brook, IL 60523
(630) 242-5511
✔ PECOS1,170 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Weston Laser & Vision Institute, Inc's NPI number?

The NPI number for Weston Laser & Vision Institute, Inc is 1568642676. It was assigned to this organization in the NPPES registry on November 6, 2007.

Where is Weston Laser & Vision Institute, Inc located?

Weston Laser & Vision Institute, Inc is located at 2625 Executive Park Dr Suite 4, Weston, FL 33331. The listed phone number is (954) 659-9051.

What is Weston Laser & Vision Institute, Inc's specialty?

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

Is Weston Laser & Vision Institute, Inc enrolled in Medicare?

Yes. Weston Laser & Vision Institute, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Weston Laser & Vision Institute, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Weston Laser & Vision Institute, Inc. 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. The largest specialties are Ophthalmology (10) and Optometry (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Weston Laser & Vision Institute, Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 3 other insurers list Weston Laser & Vision Institute, Inc 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 Weston Laser & Vision Institute, Inc was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.