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

Weston Laser & Vision Institute, Inc

Organization Ophthalmology Physician · NPI 1568642676

Weston Laser & Vision Institute, Inc is an Ophthalmology Physician in Weston, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2625 Executive Park Dr Ste 4
Weston, FL 33331-3634
Phone: (954) 659-9051
Fax: (954) 659-9052
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence ME0076746 (FL)

Record details

NPI number1568642676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivas Mutyala — Medical Director · (954) 659-9051
NPI enumeratedNovember 6, 2007
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address2625 Executive Park Dr, Suite 4, Weston, FL 33331-3634

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