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ADVANCE VISION MEDICAL INC. NPI 1275508079


NPI Information

NPI: 1275508079
Provider Name: ADVANCE VISION MEDICAL, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
30856 GROESBECK HWY
B
ROSEVILLE, MI
ZIP 48066
Phone: (586) 573-9385
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ADVANCE VISION MEDICAL, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Roseville, MI. ADVANCE VISION MEDICAL, INC. NPI is 1275508079. The provider is registered as an organization entity type.

The provider's business location address is:

30856 GROESBECK HWY
B
ROSEVILLE, MI
ZIP 48066-580
Phone: (586) 573-9385
Fax: (586) 582-0165

The provider's authorized official is Deborah Kaye Salatka .
The authorized official title is President and has the following contact phone number (586) 573-9385.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 6/26/2008.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesMICHIGANYes

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
11039130001MEDICARE NSC
271020000E00162OTHERMICHIGANOXYGEN
33181705MEDICAIDMICHIGAN
41039130001MEDICARE ID-TYPE UNSPECIFIEDMICHIGANOXYGEN

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
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