| Advantage Eye Care , P. C. | |
|
7677 S Maple St Midvale UT 84047-7392 | |
| (801) 288-0882 | |
| (801) 288-0977 |
| Full Name | Advantage Eye Care , P. C. |
|---|---|
| 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 , P. C. 7677 S Maple St Midvale UT 84047-7392 Ph: (801) 288-0882 | Advantage Eye Care , P. C. 7677 S Maple St Midvale UT 84047-7392 Ph: (801) 288-0882 |
| NPI Number | 1932284130 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/08/2016 |
| Medicare PECOS PAC ID | 8628972619 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063597342 PECOS PAC ID: 3476451527 Enrollment ID: I20031227000021 |
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