Healthcare Provider Details
I. General information
NPI: 1366488082
Provider Name (Legal Business Name): PRECISION CATARACT & LASER CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2006
Last Update Date: 10/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11025 SPRING HILL DRIVE
SPRING HILL FL
34608-5049
US
IV. Provider business mailing address
11025 SPRING HILL DRIVE
SPRING HILL FL
34608-5049
US
V. Phone/Fax
- Phone: 352-683-3937
- Fax: 352-688-7689
- Phone: 352-683-3937
- Fax: 352-688-7689
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FREDRICK
L
WEINBERG
Title or Position: PRESIDENT
Credential: OD
Phone: 352-683-3937