Organization
ADVANCED EYE CARE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD A BALLITCH II M.D. (MEDICAL DIRECTOR)
(419) 512-2927
Entity
Organization
Contact information
Practice address
1991 PARK AVENUE WEST, MANSFIELD, OH 44906
(419) 521-3937
(419) 522-5189
Mailing address
1991 PARK AVENUE WEST, MANSFIELD, OH 44906
(419) 521-3937
(419) 522-5189
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
0796AS
OH
Other
Enumeration date
07/06/2006
Last updated
02/02/2024
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