Organization Name: | ADVANCED FAMILY EYECARE INC |
NPI Number: | 1174705438 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL WAYNE STONER (OWNER/ DOCTOR) |
Mailing Address: | 2245 Long St Sweet Home |
State: | OR US |
Postal Code: | 973862845 |
Phone Number: | 5413672188 |
Fax Number: | 5413672189 |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 08/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 2480ATI |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |