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Contact Information

ADVANCED EYE CARE CENTER, P.S.
2100 SE 164TH AVE
SUITE D104
VANCOUVER, WA98683-8934
 Phone: 360-256-0203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED EYE CARE CENTER, P.S.

NPI Number 1013114743
LBN Legal business name ADVANCED EYE CARE CENTER, P.S.
Authorized official TIMOTHY GARNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2007
Last updated 05/22/2008 - About 18 years ago
Identifiers
WA License # 3389
WA Medicaid 2022424
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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