Provider Demographics
NPI:1366488082
Name:PRECISION CATARACT & LASER CENTER LLC
Entity Type:Organization
Organization Name:PRECISION CATARACT & LASER CENTER LLC
Other - Org Name:SPRING HILL EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDRICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:352-683-3937
Mailing Address - Street 1:11025 SPRING HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5049
Mailing Address - Country:US
Mailing Address - Phone:352-683-3937
Mailing Address - Fax:352-688-7689
Practice Address - Street 1:11025 SPRING HILL DRIVE
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5049
Practice Address - Country:US
Practice Address - Phone:352-683-3937
Practice Address - Fax:352-688-7689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4768280001OtherDMER
FL4768280001Medicare NSC
4768280001OtherDMER
FLCK6251Medicare PIN