Organization
ADVANCED FAMILY EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID PIFER O.D. (PRESIDENT)
(419) 483-7685
Entity
Organization
Contact information
Practice address
1355 W MAIN ST, SUITE A, BELLEVUE, OH 44811-9082
(419) 483-7685
(419) 483-4694
Mailing address
1355 W MAIN ST, SUITE A, BELLEVUE, OH 44811-9082
(419) 483-7685
(419) 483-4694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3486T151
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0664688
—
OH
Enumeration date
06/02/2006
Last updated
05/05/2009
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