MEDICARE: LASER AND CORNEAL SURGERY ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1477746626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LASER AND CORNEAL SURGERY ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	8 W 38TH ST RM 1102
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-0145
Country	:	US
Telephone Number	:	212-931-5110
Fax Number	:	212-832-9739

Provider Business Practice Location Address
First Line	:	8 W 38TH ST RM 1102
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-0145
Country	:	US
Telephone Number	:	212-931-5110
Fax Number	:	212-832-9739

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK GEORGE SPEAKER
Credential	:
Telephone Number	:	212-931-5110

Provider Enumeration Date	:	08/21/2007
Last Update Date	:	04/01/2026

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