Organization
ADVANCED FAMILY EYECARE OF TRUMBULL CO LLC
Active
Organization
ADVANCED FAMILY EYECARE OF TRUMBULL CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY KAPPAS (OFFICE MANAGER)
(330) 856-6113
Entity
Organization
Contact information
Practice address
8252 HIGH ST NE, WARREN, OH 44484-1923
(330) 856-6113
(330) 856-6437
Mailing address
8252 HIGH ST NE, WARREN, OH 44484-1923
(330) 856-6113
(330) 856-6437
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4851T1716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2594590
—
OH
Enumeration date
07/20/2007
Last updated
05/04/2012
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