NPI 1568642676

Weston Laser & Vision Institute, INC

Organisation Ophthalmology Physician Weston, FL

Practice location

Address: 2625 Executive Park Dr Suite 4, Weston, FL 33331-3634
Phone: (954) 659-9051
Fax: (954) 659-9052

Authorised official

Name: Srinivas Mutyala
Title: Medical Director
Phone: (954) 659-9051

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence ME0076746 (FL)

Other Ophthalmology providers in Florida →

Registry record

NPI: 1568642676
Entity type: Organization
NPI issued: 6 Nov 2007
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.