Advantage Eye Care | |
7677 S Maple St Midvale UT 84047-7392 | |
(801) 288-0882 | |
(801) 288-0977 |
Full Name | Advantage Eye Care |
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Speciality | Clinic/Center |
Location | 7677 S Maple St, Midvale, Utah |
Authorized Official Name and Position | James M. Abraham (PRESIDENT) |
Authorized Official Contact | 8012880882 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Advantage Eye Care 7677 S Maple St Midvale UT 84047-7392 Ph: (801) 288-0882 | Advantage Eye Care 7677 S Maple St Midvale UT 84047-7392 Ph: (801) 288-0882 |
NPI Number | 1932284130 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 08/08/2016 |
Medicare PECOS PAC ID | 8628972619 |
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Medicare Enrollment ID | O20031121000245 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932284130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Utah) | Primary |
Provider Name | James M Abraham |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063597342 PECOS PAC ID: 3476451527 Enrollment ID: I20031227000021 |
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