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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 Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for ADVANCED VISION CARE CENTER, LLC

NPI # 1609829480
LBN Legal business name ADVANCED VISION CARE CENTER, LLC
Authorized official MASOUD GHOHESTANT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 01/24/2024 - About 2 years ago
Identifiers
IN Medicaid 300024163
OH Medicaid 2278664
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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