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Contact Information

ADVANCED FAMILY EYECARE OF TRUMBULL CO LLC
8252 HIGH ST NE
WARREN, OH44484-1923
 Phone: 330-856-6113
 Fax: 330-856-6437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY EYECARE OF TRUMBULL CO LLC

NPI # 1558561324
LBN Legal business name ADVANCED FAMILY EYECARE OF TRUMBULL CO LLC
Authorized official BEVERLY KAPPAS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2007
Last updated 05/04/2012 - About 14 years ago
Identifiers
OH License # 4851T1716
OH Medicaid 2594590
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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