WESTON LASER & VISION INSTITUTE, INC – Ophthalmology Physician, NPI 1568642676

WESTON LASER & VISION INSTITUTE, INC is a healthcare provider. based in Weston, Florida. specializing in Ophthalmology Physician. The organization holds a License No. ME0076746 (FL). The NPI Number for WESTON LASER & VISION INSTITUTE, INC is 1568642676

Main info

Organization
Name
WESTON LASER & VISION INSTITUTE, INC
NPI
1568642676
Phone
(954) 659-9051
Address
2625 EXECUTIVE PARK DR
Authorized Official
DR. SRINIVAS MUTYALA MEDICAL DIRECTOR M.D.
Enumeration Date
6 November 2007
Last Update Date
29 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for WESTON LASER & VISION INSTITUTE, INC

  • 2625, Executive Park Drive, Weston, Broward County, Florida, 33331, United States

    SUITE 4

    WESTON, FL 333313634

    Phone: (954) 659-9051

    Fax: (954) 659-9052

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090724000538OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33331)

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Reviews

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Frequently asked questions

What is the standard ID for WESTON LASER & VISION INSTITUTE, INC in the U.S.?
In the U.S., WESTON LASER & VISION INSTITUTE, INC is identified by NPI 1568642676.
Is WESTON LASER & VISION INSTITUTE, INC's NPI status active today?
Active status means WESTON LASER & VISION INSTITUTE, INC's NPI record is not deactivated in the public file.
How should patients interpret WESTON LASER & VISION INSTITUTE, INC's specialty?
The extract shows Ophthalmology Physician for WESTON LASER & VISION INSTITUTE, INC. Clinical services aligned with this taxonomy classification.
Which community is linked to WESTON LASER & VISION INSTITUTE, INC?
WESTON LASER & VISION INSTITUTE, INC shows a connection to Weston, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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