Provider Demographics
NPI:1437254976
Name:ADVANCED LASER VISION & SURGICAL INSTITUTE
Entity Type:Organization
Organization Name:ADVANCED LASER VISION & SURGICAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSKY
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:281-464-9616
Mailing Address - Street 1:11550 FUQUA ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4599
Mailing Address - Country:US
Mailing Address - Phone:281-464-9616
Mailing Address - Fax:281-464-9623
Practice Address - Street 1:11550 FUQUA ST
Practice Address - Street 2:SUITE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4599
Practice Address - Country:US
Practice Address - Phone:281-464-9616
Practice Address - Fax:281-464-9623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9283207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty