ADVANCED FAMILY EYECARE INC (NPI# 1174705438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174705438 |
| Entity Type | Organization |
| Organization Name | ADVANCED FAMILY EYECARE INC |
| Practice Address |
2245 Long St Sweet Home OR 97386-2845 |
| Mailing Address |
38661 Palmyre Dr Lebanon OR 97355-9284 |
| Practice Telephone | 5413672188 |
| Practice Fax Number | 5413672189 |
| Mailing Telephone | 5414014649 |
| Mailing Fax Number | 5413672189 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2010-08-02 |
| Authorized Official Name | MICHAEL WAYNE STONER (OWNER/ DOCTOR) |
| Authorized Official Telephone | 5413672188 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | 2480ATI | OR | Suppliers |
| Y | 152W00000X | Optometrist | 2480ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BUSINESS ID NUMBER | 1160810-1 | 01 | |
| DMERC | 1C 4545640001 | 01 | |
| OR | 046719 | 05 | |
| OR | EYEMED VISION CARE ID NUM | 212671 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700966298 | Advanced Family Eyecare Inc | Optometrist | 18576 Joplin Avenue, Lakeville, MN 55044 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANCED FAMILY EYECARE INC | 2245 Long St, Sweet Home, OR 97386 |
| Street Address |
2245 LONG ST |
| City | SWEET HOME |
| State | OR |
| Zip Code | 97386-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942316047 | Michael Wayne Stoner | Optometrist | 2245 Long St, Sweet Home, OR 97386-2845 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649693342 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1980 Main Street, Sweet Home, OR 97386 | 2014-01-31 |
| 1891705901 | Christopher Elliot Simmons | Social Worker | 799 Long St, Sweet Home, OR 97386 | 2006-08-09 |
| 1912324583 | Muhammad A Qudoos | Pharmacist | 679 Main St, Sweet Home, OR 97386 | 2014-03-21 |
| 1730419441 | Brandy Glynn Davis | Pharmacist | 1540 Main St, Sweet Home, OR 97386 | 2009-12-30 |
| 1770640682 | Dennis M Lynch | Chiropractor | 920 Main St, Sweet Home, OR 97386 | 2007-01-02 |
| 1073954806 | Lifesource,inc | Community/Behavioral Health | 1266 44th Ave, Sweet Home, OR 97386-1235 | 2013-07-09 |
| 1124596879 | Peter Kauffman | Counselor | 1266 44th Ave, Sweet Home, OR 97386-1235 | 2018-11-10 |
| 1568659373 | Lynch Family Chiropractic Clinic PC | Chiropractor | 920 Main St, Sweet Home, OR 97386-1512 | 2007-09-26 |
| 1609919760 | Danca Lenna Inc | Pharmacy | 1023 Main St, Sweet Home, OR 97386-1515 | 2007-02-15 |
| 1053338004 | Twin Oaks Rehab, Inc. | Skilled Nursing Facility | 950 Nandina St, Sweet Home, OR 97386-1522 | 2006-07-16 |
| Find all providers in zip 97386 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942316047 | Michael Wayne Stoner | Optometrist | 2245 Long St, Sweet Home, OR 97386-2845 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080105 | Quest Mobile Vision | Optometrist | 1900 E Fulton St, Newberg, OR 97132-1806 | 2020-10-16 |
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1578170387 | Zachary Willits | Optometrist | 8495 Crater Lake Hwy Bldg 212, White City, OR 97503-3011 | 2020-09-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1063034148 | Pacific Eye Group, PC | Optometrist | 10104 Sw Washington Square Rd Spc A02, Tigard, OR 97223-4457 | 2020-05-12 |
| 1457973992 | Tammy T Nguyen | Optometrist | 16801 Se Davidoff Way, Damascus, OR 97089-5801 | 2020-05-07 |
| 1629698642 | Prashna Mistry | Optometrist | College of Optometry, 2043 College Way, Forest Grove, OR 97116-1797 | 2020-04-20 |
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
| City | SWEET HOME |
| Zip Code | 97386 |
Please comment or provide details below to improve the information on ADVANCED FAMILY EYECARE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.