Provider Demographics
NPI:1689168353
Name:LASIK PARTNERS, LLC
Entity Type:Organization
Organization Name:LASIK PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-894-8081
Mailing Address - Street 1:1911 N MILLS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1407
Mailing Address - Country:US
Mailing Address - Phone:407-894-8081
Mailing Address - Fax:
Practice Address - Street 1:1911 N MILLS AVE STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1407
Practice Address - Country:US
Practice Address - Phone:407-894-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1124083068OtherCOMMERCIAL