National Provider Identifier Database

ADVANCED VISION CARE CENTER LLC
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

ADVANCED VISION CARE CENTER, LLC
100 SYCAMORE ESTATES DR
AURORA, IN47001
Phone: 812-926-4836
Fax: 812-926-4651
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED VISION CARE CENTER, LLC

NPI Number 1609829480
Legal business name
LBN
ADVANCED VISION CARE CENTER, LLC
Authorized official MASOUD GHOHESTANT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/19/2006
Last updated 01/24/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 300024163
  • OH Medicaid: 2278664

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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