ADVANCED EYE CARE CENTER, INC (NPI# 1750412789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750412789 |
| Entity Type | Organization |
| Organization Name | ADVANCED EYE CARE CENTER, INC |
| Practice Address |
1991 Park Ave W Mansfield OH 44906-2233 |
| Practice Telephone | 4195213937 |
| Practice Fax Number | 4195225189 |
| Mailing Telephone | 4195213937 |
| Mailing Fax Number | 4195225189 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | DR. HAROLD ANDREW BALLITCH II (PRESIDENT) |
| Authorized Official Telephone | 4195213937 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35063411B | OH | Other Service Providers |
| Street Address |
1991 PARK AVE W |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275523896 | Harold A Ballitch II | Ophthalmology | 1991 Park Ave W, Mansfield, OH 44906-2233 | 2005-10-25 |
| 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 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 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 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1518494723 | Mansfield Orthopedic Associates | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-05-18 |
| 1740681030 | Amy Burns | Specialist | 1291 Lexwood Rd, Mansfield, OH 44907-2923 | 2014-09-06 |
| 1376844456 | Mark A. Bishara, Md, Pa | Specialist | 550 N Walnut Creek Dr, Suite 120, Mansfield, TX 76063-3223 | 2010-11-05 |
| 1871820423 | Breast Diagnostics, Pa | Specialist | 1750 Broad Park Cir S, Suite 300, Mansfield, TX 76063-7822 | 2009-11-03 |
| 1730335076 | David R Williams | Specialist | 1020 Chasemore Ct, Mansfield, TX 76063-2654 | 2008-08-18 |
| 1720259104 | Mid-ohio Neurosurgical Care, Inc. | Specialist | 39 Wood St, Mansfield, OH 44903-2210 | 2008-03-13 |
| 1447378567 | Columbus Physician Resources Inc | Specialist | 380 Cline Ave Ste 1, Mansfield, OH 44907-1056 | 2007-03-27 |
| 1942394309 | Eye Surgery Consultants Inc. | Specialist | 240 West Cook Road, Mansfield, OH 44907 | 2006-10-02 |
| 1124128491 | Alfred Granson Jr. | Specialist | 70 Madison Rd, Mansfield, OH 44905-2831 | 2006-09-25 |
| 1982623583 | Charles H Shaw | Specialist | 370 Cline Avenue, Mansfield, OH 44907 | 2006-07-18 |
| Find all providers in MANSFIELD | ||||
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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.