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Contact Information

ADVANCED EYECARE & SPORTS VISION CENTER, INC.
302 WEST MAIN ST., STE 100
PLAIN CITY, OH43064
 Phone: 614-873-1003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED EYECARE & SPORTS VISION CENTER, INC.

NPI # 1841230075
LBN Legal business name ADVANCED EYECARE & SPORTS VISION CENTER, INC.
Authorized official RICHARD MILLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 06/08/2009 - About 17 years ago
Identifiers
OH License # 4217/T949
OH Medicaid 0924450
Other DC0168 RAILROAD MEDICARE
OH Other 5452035 AETNA
OH Other 000000224728 ANTHEM
OH Other 278681842004 MEDICAL MUTUAL
OH Other 2200301 UNITED HEALTHCARE
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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