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Contact Information

ADVANCED EYECARE SOLUTIONS LLC
303 1ST ST
CHARLEROI, PA15022-1427
 Phone: 724-483-3675
 Fax: 724-483-0404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED EYECARE SOLUTIONS LLC

NPI Number 1144557174
LBN Legal business name ADVANCED EYECARE SOLUTIONS LLC
Authorized official JOHN MARTINELLI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2009
Last updated 12/16/2010 - About 15 years ago
Identifiers
PA License # OEG001792
PA Medicaid 00136142
PA Other DQ6103 MEDICARE RAILROAD
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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