# STARCHVICK OPTICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Vision Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134281355
- **Authorized official:** GERALD ROBERT STARCHVICK O.D. (PRESIDENT)
- **Authorized official phone:** (541) 779-1392

## Contact information

- **Practice address:** 1251 E MCANDREWS RD, SUITE 100, MEDFORD, OR 97504-6497
- **Practice address phone:** (541) 779-1392
- **Practice address fax:** (541) 779-6531
- **Mailing address:** 1251 E MCANDREWS RD, SUITE 100, MEDFORD, OR 97504-6497
- **Mailing address phone:** (541) 779-1392
- **Mailing address fax:** (541) 779-6531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 1563ATI | OR | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 04/20/2008