Laservue Eye Center A Medical Corporation
Non-pharmacy Dispensing Site
3450 Mendocino Ave, 200, Santa Rosa
California, 95403-2221
707-522-6200 707-522-6215
Laservue Eye Center A Medical Corporation is a Non-pharmacy Dispensing Site in Santa Rosa, California. It is located at 3450 Mendocino Ave, 200, Santa Rosa and it's customer support contact number is 707-522-6200. The authorized person of Laservue Eye Center A Medical Corporation is Nicole Sisko who is Credentialing Specialist of the pharmacy and his contact number is 727-483-7463. Active license number of Laservue Eye Center A Medical Corporation is G66178 for Non-pharmacy Dispensing Site in California.
Laservue Eye Center A Medical Corporation is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Laservue Eye Center A Medical Corporation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Laservue Eye Center A Medical Corporation |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 3450 Mendocino Ave, 200, Santa Rosa,
California, 95403-2221 |
| Phone: | 707-522-6200 |
| Fax: | 707-522-6215 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Nicole Sisko |
| Position: | Credentialing Specialist |
| Contact Number: | 727-483-7463 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1811372568 |
| NPI Enumeration Date: | 23 Jul, 2015 |
| NPI Last Update On: | 23 Jul, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laservue Eye Center A Medical Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | G66178 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 311 Park Place Blvd, 5th Floor
Clearwater, Florida |
| Zip: | 33759-4904 |
| Phone Number: | 727-483-7463 |
| Fax Number: | 727-755-0679 |
Patients can reach Laservue Eye Center A Medical Corporation at
3450 Mendocino Ave, 200, Santa Rosa, California or can
call on customer care at 707-522-6200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.