ADVANCED EYE CARE SURGERY CENTER LLC


Address: 1991 Park Avenue West, Mansfield, OH 44906
Phone: 4195290088

ADVANCED EYE CARE SURGERY CENTER LLC (NPI# 1750312534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750312534
Entity Type Organization
Organization Name ADVANCED EYE CARE SURGERY CENTER LLC
Practice Address 1991 Park Avenue West
Mansfield
OH 44906
Practice Telephone 4195290088
Practice Fax Number 4195295088
Mailing Telephone 4195213937
Mailing Fax Number 4195225189
Enumeration Date 2006-07-06
Last Update Date 2019-04-23
Authorized Official Name DR. HAROLD A BALLITCH II (MEDICAL DIRECTOR)
Authorized Official Telephone 4195213937
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0132X Clinic/Center
Specialization: Ophthalmologic Surgery
0796AS OH Ambulatory Health Care Facilities

Office Location

Street Address 1991 PARK AVENUE WEST
City MANSFIELD
State OH
Zip Code 44906

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154920155 Jonathan Clevenger Pharmacist 1455 North Lexington-springmill Road, Ontario, OH 44906 2020-10-21
1366083297 Jennifer Robin Young Technician 60 Sherman Ave, Mansfield, OH 44906 2019-10-02
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1871098855 Med Gear Plus, LLC Durable Medical Equipment & Medical Supplies 1041 Park Ave W, Mansfield, OH 44906 2018-03-29
1912401209 Bradley Anderson Dietitian, Registered 1025 South Trimble Rd., Mansfield, OH 44906 2018-03-21
1104325182 Nancy Labaki Speech-Language Pathologist 2011 W. Fourth St., Mansfield, OH 44906 2018-02-06
1720518319 Stephen Anderson Counselor 680 Park Ave W., Mansfield, OH 44906 2017-06-15
1427422518 Jill A Waite Counselor 33 S. Lexington-springmill Road, Mansfield, OH 44906 2015-11-30
1992125397 Taryn Boyd Physical Therapist 1025 S Trimble, Mansfield, OH 44906 2014-04-24
1356760870 Sarah Brandyberry Social Worker 1025 S. Trimble Rd., Mansfield, OH 44906 2014-04-11
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Taxonomy Information

Taxonomy Code 261QS0132X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ophthalmologic Surgery

Taxonomy Definition

Definition to come...

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1891992889 G & G International LLC Clinic/Center 2165 Mentor Ave, Painesville, OH 44077 2007-07-02
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1396725008 Surgery Center of Sandusky Clinic/Center 2616 Hayes Ave, Sandusky, OH 44870 2006-01-19
1659880300 Southwest Ohio Eye Physicians Inc Clinic/Center 3120 Burnet Ave Ste 303, Cincinnati, OH 45229-3022 2017-09-26
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Competitor

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City MANSFIELD
Zip Code 44906

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Dataset Information

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.

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