# ADVANCED MEDICAL EYE CONSULTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629104674
- **Authorized official:** DR. L.D. IAN ROE M.D. (MANAGING MEMBER)
- **Authorized official phone:** (863) 382-7300

## Contact information

- **Practice address:** 6801 US HIGHWAY 27 N, SUITE D-3, SEBRING, FL 33870-7840
- **Practice address phone:** (863) 382-7300
- **Practice address fax:** (486) 243-0007
- **Mailing address:** PO BOX 1195, SEBRING, FL 33871-1195
- **Mailing address phone:** (863) 382-7300
- **Mailing address fax:** (786) 243-0007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 12/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1790831220 | INDIVIDUAL NPI | — |