Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1770990376 |
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| LBN Legal business name | ADVANCED VISION SURGERY CENTER LLC | ||||
| Authorized official | AMY BURTON - (CREDENTIALING) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/15/2014 | ||||
| Last updated | 01/06/2025 - More than a year ago | ||||
| Identifiers |
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