ADVANCED VISION WELLNESS CENTER – NPI #1134281355
Optometrist

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

ADVANCED VISION WELLNESS CENTER is an optometrist located in MEDFORD, OR. NPPES has assigned the NPI number 1134281355 to ADVANCED VISION WELLNESS CENTER on December 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED VISION WELLNESS CENTER” is a dba name, the actual legal business name for this organization is STARCHVICK OPTICAL INC. The primary taxonomy selected by this provider is 152WC0802X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Corneal and Contact Management

The NPI profile was previously updated about 18 years ago on Apr 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED VISION WELLNESS CENTER below.

NPI Profile for
STARCHVICK OPTICAL INC

NPI Number
1134281355
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STARCHVICK OPTICAL INC
Doing Business As (dba): ADVANCED VISION WELLNESS CENTER
Primary location
1251 E MCANDREWS RD
SUITE 100
MEDFORD, OR 97504-6497
Phone: (541) 779-1392 Fax: (541) 779-6531
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GERALD STARCHVICK
PRESIDENT
Phone: (541) 779-1392
Updated
Identifiers

Identifiers for ADVANCED VISION WELLNESS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEREYEMEDOR212666
MEDICAIDOR271176
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WC0802X
- Optometrist / Corneal and Contact Management (Primary)
OR 1563ATI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.