ADVANCED HEALTHCARE S.C. NPI 1629153101

NPI Information

NPI: 1629153101
Provider Name: ADVANCED HEALTHCARE, S.C.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1777 W GRAND AVE
PORT WASHINGTON, WI
ZIP 53074
Phone: (262) 284-3456
Get Directions

ADVANCED HEALTHCARE, S.C. is an eyewear supplier in Port Washington, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ADVANCED HEALTHCARE, S.C. NPI is 1629153101. The provider is registered as an organization entity type.

The provider's business location address is:

1777 W GRAND AVE
PORT WASHINGTON, WI
ZIP 53074-077
Phone: (262) 284-3456

The provider's authorized official is Eugene W. Monroe .
The authorized official title is President and has the following contact phone number (414) 352-3100.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 12/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0587990010	MEDICARE NSC	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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