Advance Vision Eye Care, S.C.

LBN: Advance Vision Eye Care, S.C.
Advance Vision Eye Care, S.C. is an health care organization with primary practice located at 1770 E Lake Shore Dr Suite 101, Decatur IL 62521-3886. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Advance Vision Eye Care, S.C. can be contacted via phone (217) 233-1405, or through Tin, Maung Maung via phone (217) 233-1405.

Contact Information

Primary practice address
1770 E Lake Shore Dr Suite 101 Decatur IL 62521-3886
Phone: (217) 233-1405
Fax: (217) 233-1407
Website:
Map and Directions
Authorized official contact:
Name: Tin, Maung Maung Doctor of Medicine (MD)
Phone: (217) 233-1405

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036101730 Illinois

Profile Details

NPI number 1861500555
LBN Legal business name Advance Vision Eye Care, S.C.
DBA Doing business as
Authorized official Tin, Maung Maung Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Jan 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861500555 NPPES
Illinois MEDICAID 036101730
Illinois Other 042618472

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