# ADVANCE VISION EYE CARE, S.C.

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

## Provider details

- **NPI number:** 1861500555
- **Authorized official:** DR. MAUNG MAUNG TIN MD (MEDICAL DOCTOR/ OPHTHALMOLOGIST)
- **Authorized official phone:** (217) 233-1405

## Contact information

- **Practice address:** 1770 E LAKE SHORE DR, SUITE 101, DECATUR, IL 62521-3886
- **Practice address phone:** (217) 233-1405
- **Practice address fax:** (217) 233-1407
- **Mailing address:** 1770 E LAKE SHORE DRIVE, SUITE 101, DECATUR, IL 62521-3886
- **Mailing address phone:** (217) 233-1405
- **Mailing address fax:** (217) 233-1407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036101730 | IL | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 01/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036101730 | — | IL |
| 01 | — | 042618472 | CORPORATION LICENSE | — |