Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laservue Eye Center a Medical Corporation

Organization Non-Pharmacy Dispensing Site · NPI 1811372568

Laservue Eye Center a Medical Corporation is a Non-Pharmacy Dispensing Site in Santa Rosa, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

3450 Mendocino Ave 200
Santa Rosa, CA 95403-2221
Phone: (707) 522-6200
Fax: (707) 522-6215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence G66178 (CA)

Record details

NPI number1811372568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Sisko — Credentialing Specialist · (727) 483-7463
NPI enumeratedJuly 23, 2015
Last updated in NPPESJuly 23, 2015
Mailing address311 Park Place Blvd, 5th Floor, Clearwater, FL 33759-4904