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

Laservue Eye Center Medical Corporation

Organization Ophthalmologic Surgery Clinic/Center · NPI 1194913103

Laservue Eye Center Medical Corporation is an Ophthalmologic Surgery Clinic/Center in Santa Rosa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

3540 Mendocino Ave Ste 200
Santa Rosa, CA 95403-3639
Phone: (707) 522-6200
Show map & directions

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

Specialties & licences

Ophthalmologic Surgery Clinic/Center (primary) Taxonomy 261QS0132X · Licence G66178 (CA)

Record details

NPI number1194913103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanjay Bansal — Owner · (707) 522-6200
NPI enumeratedOctober 4, 2007
Last updated in NPPESApril 3, 2013
Mailing address3540 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3639

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