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Contact Information

ADVANCE VISION EYE CARE, S.C.
1770 E LAKE SHORE DR
SUITE 101
DECATUR, IL62521-3886
 Phone: 217-233-1405
 Fax: 217-233-1407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ADVANCE VISION EYE CARE, S.C.

NPI Number 1861500555
LBN Legal business name ADVANCE VISION EYE CARE, S.C.
Authorized official MAUNG TIN - (MEDICAL DOCTOR/ OPHTHALMOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2006
Last updated 01/06/2009 - About 17 years ago
Identifiers
IL License # 036101730
IL Medicaid 036101730
Other 042618472 CORPORATION LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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