Organization
ADVANCED EYE CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD ANDREW BALLITCH II MD (PRESIDENT)
(419) 564-2855
Entity
Organization
Contact information
Practice address
1991 PARK AVE W, ONTARIO, OH 44906-2233
(419) 521-3937
(419) 522-5189
Mailing address
1991 PARK AVE W, MANSFIELD, OH 44906-2233
(419) 521-3937
(419) 522-5189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35063411B
OH
Other
Enumeration date
03/09/2007
Last updated
02/02/2024
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