SPECIALTY EYE SURGERY & LASER CENTER OF THE CAPITAL REGION – NPI #1316499452
Clinic/Center

SPECIALTY EYE SURGERY & LASER CENTER OF THE CAPITAL REGION is an AHC clinic located in COLONIE, NY. NPPES has assigned the NPI number 1316499452 to SPECIALTY EYE SURGERY & LASER CENTER OF THE CAPITAL REGION on October 25, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPECIALTY EYE SURGERY & LASER CENTER OF THE CAPITAL REGION” is a dba name, the actual legal business name for this organization is COLONIE ASC LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Mar 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECIALTY EYE SURGERY & LASER CENTER OF THE CAPITAL REGION below.

NPI Profile for
COLONIE ASC LLC

NPI Number
1316499452
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLONIE ASC LLC
Doing Business As (dba): SPECIALTY EYE SURGERY & LASER CENTER OF THE CAPITAL REGION
Primary location
207 TROY-SCHENECTADY RD
COLONIE, NY 12110
Phone: (518) 423-7784 Fax:
Mailing address
207 TROY SCHENECTADY RD
LATHAM, NY 12110-5446
Phone: (518) 538-9128 Fax: (518) 389-2933
Organization Subpart
No
Authorized Official
EDWARD WLADIS
MEDICAL DIRECTOR
Phone: (518) 423-7784
Updated
Certification Date
Mar 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.