Organization
ADVANCED VISION CARE CENTER, LLC
Active
Other names
Masoud Ghohestani OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASOUD GHOHESTANT O D (PRESIDENT)
(812) 926-4836
Entity
Organization
Contact information
Practice address
100 SYCAMORE ESTATES DR, AURORA, IN 47001
(812) 926-4836
(812) 926-4651
Mailing address
PO BOX 4174, LAWRENEBURG, IN 47025-4174
(812) 926-4836
(812) 926-4651
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278664
—
OH
05
—
300024163
—
IN
Enumeration date
05/19/2006
Last updated
01/24/2024
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