Organization
ADVANCED OPTICAL COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD A BALLITCH II M.D. (PRESIDENT)
(419) 521-3937
Entity
Organization
Contact information
Practice address
1991 PARK AVE W, ONTARIO, OH 44906-2233
(419) 521-3937
(419) 522-5189
Mailing address
1991 PARK AVE W, ONTARIO, OH 44906-2233
(419) 521-3937
(419) 522-5189
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
02/02/2024
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