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ADVANCED EYE CARE CENTER, INC

Other Service Providers Specialist

Provider NPI: 1750412789

Organization Information:
Organization Name:  ADVANCED EYE CARE CENTER, INC
Organization is not Subpart
Authorized Official:  HAROLD ANDREW BALLITCH  PRESIDENT  419-521-3937

Practice Location:
1991 PARK AVE W  MANSFIELD, OH 44906-2233 US
Tel: 419-521-3937  Fax: 419-522-5189

Business Mailing Address:
1991 PARK AVE W  MANSFIELD, OH 44906-2233 US
Tel: 419-521-3937  Fax: 419-522-5189

NPI Information:
NPI: 1750412789
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
OH35063411B

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 174400000X

Type:

Classification:



Definition:



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