Organization
EYESITE OPTICAL
Active
Parent organization
ADVANCED VISION ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED VISION ASSOCIATES LLC
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) 474-1858
(812) 485-2476
Mailing address
4405 BELLEMEADE AVE, STE. 101, EVANSVILLE, IN 47714-0682
(812) 474-1858
(812) 485-2476
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003248A
IN
207W00000X
Ophthalmology Physician
01029433
IN
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
12/23/2009
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