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General NPI Number Information
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NPI Number | 1568918449
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Entity Type | Organization
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Legal Business Name | THE CATARACT VISION INSTITUTE LLC
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 3998 INLAND EMPIRE BLVD
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City | ONTARIO
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State | CA
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Zip | 91764-5032
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Country | US
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Telephone | 909-466-1457
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 PALM BEACH LAKES BLVD SUITE 600
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2323
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Country | US
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Telephone | 561-965-9110
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BEN COOK
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Credential |
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Telephone | 561-965-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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