LASERVUE EYE CENTER A MEDICAL CORPORATION
NPI 1811372568
Non-Pharmacy Dispensing Site in Santa Rosa, CA

Q: What is Laservue Eye Center A Medical Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since July 23, 2015

3450 MENDOCINO AVE, 200, SANTA ROSA, CA 95403(707) 522-6200(707) 522-6215 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Laservue Eye Center A Medical Corporation NPPES

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

LASERVUE EYE CENTER A MEDICAL CORPORATION (NPI 1811372568) is a healthcare organization registered as a non-pharmacy dispensing site in Santa Rosa, California and active in the NPI registry since July 2015. The organization lists Nicole Sisko, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1811372568

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameLASERVUE EYE CENTER A MEDICAL CORPORATION

Location Address3450 MENDOCINO AVE, 200Santa Rosa, CA 95403-2221

Mailing Address311 Park Place Blvd, 5th FloorClearwater, FL 33759-4904 · (727) 483-7463 · Fax (727) 755-0679

Phone(707) 522-6200

Fax(707) 522-6215

Organization SubpartNo

Authorized OfficialNicole SiskoCredentialing Specialist · (727) 483-7463

Enumeration DateJuly 23, 2015

✔ NPI 1811372568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · G66178

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3450 MENDOCINO AVE, Santa Rosa, CA 95403

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINAV544CA

Other Providers at the Same Location NPPES 2

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

CYNTHIA M ZAFIS D.C.

Chiropractor

3450 MENDOCINO AVE, SUITE A
SANTA ROSA, CA 95403

Sonoma County (707) 527-7710

ZAFIS CHIROPRACTIC, INC

Chiropractor

3450 MENDOCINO AVE, SUITE A
SANTA ROSA, CA 95403

Sonoma County (707) 527-7710

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 A Medical Corporation's NPI number?

The NPI number for Laservue Eye Center A Medical Corporation is 1811372568. It was assigned to this organization in the NPPES registry on July 23, 2015.

Where is Laservue Eye Center A Medical Corporation located?

Laservue Eye Center A Medical Corporation is located at 3450 Mendocino Ave 200, Santa Rosa, CA 95403. The listed phone number is (707) 522-6200.

What is Laservue Eye Center A Medical Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Laservue Eye Center A Medical Corporation was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.