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Organization

ADVANCED VISION ASSOCIATES LLC

Active
Other names
EyeSite Optical/Timothy M. Crowley, MD/Christopher W. Brackett, OD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY M. CROWLEY M.D. (OWNER)
(812) 474-1010
Entity
Organization

Contact information

Practice address
4405 BELLEMEADE AVE, STE. 101, EVANSVILLE, IN 47714-0682
(812) 474-1010
(812) 485-2476
Mailing address
4405 BELLEMEADE AVE, STE. 101, EVANSVILLE, IN 47714-0682
(812) 474-1010
(812) 485-2476

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01029433
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000181187
ANTHEM
IN
01
180040683
RAIL ROAD MEDICARE
IN
05
200316700
IN
01
231380
MEDICARE SECONDARY
IN
Enumeration date
01/16/2007
Last updated
12/18/2009
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