Center for Cosmetic and Laser Surgery, LLC
NPI 1215276530 · Plastic Surgery Physician · Bloomington, IL
Center for Cosmetic and Laser Surgery, LLC is a Plastic Surgery Physician organization in Bloomington, IL (NPI 1215276530).
Provider details
- NPI number
- 1215276530
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Poulter, Owner(309) 663-1222
- License
- 036084126 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-02-06
- Last updated
- 2013-02-06
Frequently asked questions
- What is Center for Cosmetic and Laser Surgery, LLC's NPI number?
- Center for Cosmetic and Laser Surgery, LLC's National Provider Identifier (NPI) is 1215276530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Cosmetic and Laser Surgery, LLC?
- Center for Cosmetic and Laser Surgery, LLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Center for Cosmetic and Laser Surgery, LLC located?
- Center for Cosmetic and Laser Surgery, LLC's practice location on file with NPPES is 1505 Eastland Dr, Bloomington, IL 61701-3534.
- What is Center for Cosmetic and Laser Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Center for Cosmetic and Laser Surgery, LLC is (309) 663-1222.
- Who is the authorized official for Center for Cosmetic and Laser Surgery, LLC?
- The authorized official listed on Center for Cosmetic and Laser Surgery, LLC's NPPES record is Jeffrey Poulter, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Cosmetic and Laser Surgery, LLC's NPI active?
- Yes — Center for Cosmetic and Laser Surgery, LLC's NPI (1215276530) is active in the NPPES registry as of the last update on 2013-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.