Provider Demographics
NPI:1083379895
Name:ANC SERVICES LLC
Entity Type:Organization
Organization Name:ANC SERVICES LLC
Other - Org Name:THE EYE CARE STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:AME
Authorized Official - Middle Name:N
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-761-2020
Mailing Address - Street 1:3769 COLUMBUS PIKE STE 115
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7213
Mailing Address - Country:US
Mailing Address - Phone:740-761-2020
Mailing Address - Fax:
Practice Address - Street 1:3769 COLUMBUS PIKE STE 115
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7213
Practice Address - Country:US
Practice Address - Phone:614-678-0814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-05
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty