Provider Demographics
NPI:1235934274
Name:KORNMEHL LASER EYE ASSOCIATES PC
Entity type:Organization
Organization Name:KORNMEHL LASER EYE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:W
Authorized Official - Last Name:KORNMEHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-237-3366
Mailing Address - Street 1:54 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-3208
Mailing Address - Country:US
Mailing Address - Phone:781-237-3366
Mailing Address - Fax:781-237-6611
Practice Address - Street 1:54 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-3208
Practice Address - Country:US
Practice Address - Phone:781-237-3366
Practice Address - Fax:781-237-6611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty