Organization
ADVANCED MEDICAL EYE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L.D. IAN ROE M.D. (MANAGING MEMBER)
(863) 382-7300
Entity
Organization
Contact information
Practice address
6801 US HIGHWAY 27 N, SUITE D-3, SEBRING, FL 33870-7840
(863) 382-7300
(486) 243-0007
Mailing address
PO BOX 1195, SEBRING, FL 33871-1195
(863) 382-7300
(786) 243-0007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790831220
INDIVIDUAL NPI
—
Enumeration date
02/26/2007
Last updated
12/30/2008
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