ADVANCED VISION CARE CENTER, LLC (NPI# 1609829480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609829480 |
| Entity Type | Organization |
| Organization Name | ADVANCED VISION CARE CENTER, LLC |
| Other Organization Name | MASOUD GHOHESTANI OD |
| Practice Address |
100 Sycamore Estates Dr Aurora IN 47001 |
| Mailing Address |
Po Box 4174 Lawreneburg IN 47025-4174 |
| Practice Telephone | 8129264836 |
| Practice Fax Number | 8129264651 |
| Mailing Telephone | 8129264836 |
| Mailing Fax Number | 8129264651 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | DR. MASOUD GHOHESTANT (PRESIDENT) |
| Authorized Official Telephone | 8129264836 |
| Authorized Official Credential | O D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4993 T1863 | OH | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1446DT | KY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 18003027A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200468820A | 05 | |
| OH | 2278664 | 05 |
| Other Name | Type Code |
|---|---|
| Masoud Ghohestani OD | Doing Business As Name - Organization |
| Street Address |
100 SYCAMORE ESTATES DR |
| City | AURORA |
| State | IN |
| Zip Code | 47001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749043 | Jacob Igor Landa | Pharmacist | 100 Sycamore Estates Dr, Aurora, IN 47001-1488 | 2020-10-30 |
| 1144699885 | Monica Widener | Pharmacist | 100 Sycamore Estates Dr, Aurora, IN 47001-1488 | 2015-09-23 |
| 1467535195 | Wal-mart Stores East, Lp | Technician/Technologist | 100 Sycamore Estates Dr, Aurora, IN 47001-1488 | 2006-10-24 |
| 1033136346 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 Sycamore Estates Dr, Aurora, IN 47001-1488 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780792903 | Aleah Pendergraff Gibson | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2006-08-28 |
| 1376563965 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 512 Green Blvd, Aurora, IN 47001 | 2006-07-19 |
| 1952839961 | Kimberly Myers | Nurse Practitioner | 204 Bridgeway St, Aurora, IN 47001 | 2017-06-03 |
| 1972890481 | Mary Anna Jansen | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2011-07-05 |
| 1518978899 | Aurora Emergency Rescue, Inc. | Ambulance | 320 3rd St, Aurora, IN 47001 | 2006-08-11 |
| 1871969311 | Roberta Hall | Taxi | 136 Franklin St, Aurora, IN 47001-1018 | 2015-08-19 |
| 1598184111 | Debra Ann Dicarlo | Speech-Language Pathologist | 102 Conwell St, Aurora, IN 47001-1110 | 2014-04-10 |
| 1609994326 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 511 W Conwell St, Aurora, IN 47001-1137 | 2007-03-27 |
| 1982723300 | Voca In, LLC | Intermediate Care Facility, Mentally Retarded | 207 Hanover Ave, Aurora, IN 47001-1151 | 2007-03-28 |
| 1720625155 | James Charles Soukup Jr. | Massage Therapist | 310 4th St, Aurora, IN 47001-1206 | 2019-12-04 |
| Find all providers in zip 47001 | ||||
| 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 |
|---|---|---|---|---|
| 1740880806 | Myeyedr Optometry of Colorado PC | Optometrist | 6750 S Cornerstar Way Ste E, Aurora, CO 80016-1573 | 2020-10-28 |
| 1568019917 | Myeyedr Optometry of Colorado PC | Optometrist | 1550 S Potomac St Ste 155, Aurora, CO 80012-5444 | 2019-08-21 |
| 1336708601 | Joshua James Goetz | Optometrist | 6290 S Main St Ste 100, Aurora, CO 80016-5379 | 2019-06-11 |
| 1902388754 | Eyemax Inc. | Optometrist | 2003 Montgomery Rd Ste 104, Aurora, IL 60504-9059 | 2018-08-29 |
| 1962980607 | Razanne Hazem Taher | Optometrist | 6472 S Richfield St, Aurora, CO 80016-3172 | 2018-08-03 |
| 1376065029 | Ethan Brilley | Optometrist | 14991 E Hampden Ave Ste 110, Aurora, CO 80014-3980 | 2017-07-14 |
| 1346779972 | Kristen Renee Worthen | Optometrist | 1399 S Havana St Ste 101, Aurora, CO 80012-4041 | 2017-06-07 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1447608518 | Eye Boutique, Inc. | Optometrist | 2987 Kirk Rd, Suite 105, Aurora, IL 60502-6014 | 2016-05-31 |
| 1922406933 | Rozaliya Shimonova | Optometrist | 1113 S Abilene St Ste 100, Aurora, CO 80012-4655 | 2014-12-08 |
| Find all providers in AURORA | ||||
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| 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.