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Contact Information

ADVANCED EYECARE & SPORTS VISION CENTER, INC.
302 WEST MAIN ST., STE 100
PLAIN CITY, OH43064
 Phone: 614-873-1003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED EYECARE SPORTS VISION CENTER INC · (Female)

NPI Number 1841230075
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2006
Last updated 06/08/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 4217/T949
  • OH Medicaid 0924450
  • Other DC0168 RAILROAD MEDICARE
  • OH Other 5452035 AETNA
  • OH Other 000000224728 ANTHEM
  • OH Other 278681842004 MEDICAL MUTUAL
  • OH Other 2200301 UNITED HEALTHCARE
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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