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

Provision Laser Eye Center PA

Organization Ophthalmology Physician · NPI 1184616146

Provision Laser Eye Center PA is an Ophthalmology Physician in Venice, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1191 Jacaranda Blvd
Venice, FL 34292-4518
Phone: (941) 493-0311
Fax: (941) 492-4655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1184616146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Durrett — Owner · (941) 493-0311
NPI enumeratedAugust 16, 2005
Last updated in NPPESDecember 21, 2011
Mailing address1191 Jacaranda Blvd, Venice, FL 34292-4518

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