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Contact Information

ADVANCED FAMILY EYECARE OF TRUMBULL CO LLC
8252 HIGH ST NE
WARREN, OH44484-1923
 Phone: 330-856-6113
 Fax: 330-856-6437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY EYECARE OF TRUMBULL CO LLC · (Female)

NPI # 1558561324
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2007
Last updated 05/04/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 4851T1716
  • OH Medicaid 2594590
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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