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Contact Information

ADVANCED WELLNESS EYECARE LLC
905 W MEFFORD ST
ROBINSON, IL62454-1065
 Phone: 618-544-3525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED WELLNESS EYECARE LLC · (Female)

NPI Number 1659821510
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2016
Last updated 12/06/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 046007815
  • IL License # 046008222
  • IL License # 046010857
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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