Advanced Vision Wellness Center
LBN: Starchvick Optical Inc
Advanced Vision Wellness Center is an health care organization with primary practice located at 1251 E Mcandrews Rd Suite 100, Medford OR 97504-6497. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty.
Starchvick Optical Inc can be contacted via phone (541) 779-1392, or through Starchvick, Gerald Robert via phone (541) 779-1392.
Contact Information
Primary practice address
1251 E Mcandrews Rd Suite 100
Medford OR 97504-6497
Phone: (541) 779-1392
Fax: (541) 779-6531
Website:
Authorized official contact:
Name: Starchvick, Gerald Robert Doctor of Optometry (OD)
Phone: (541) 779-1392
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1563ATI | Oregon |
Profile Details
| NPI number | 1134281355 |
|---|---|
| LBN Legal business name | Starchvick Optical Inc |
| DBA Doing business as | Advanced Vision Wellness Center |
| Authorized official | Starchvick, Gerald Robert Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Apr 20th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134281355 | NPPES |
| Oregon | MEDICAID | 271176 | |
| Oregon | Other | 212666 |
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