Provider Demographics
NPI:1578655296
Name:ADVANCED EYE CARE PC
Entity Type:Organization
Organization Name:ADVANCED EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-489-8786
Mailing Address - Street 1:168 W RIDGE PIKE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1778
Mailing Address - Country:US
Mailing Address - Phone:610-489-8786
Mailing Address - Fax:610-489-6544
Practice Address - Street 1:168 W RIDGE PIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1778
Practice Address - Country:US
Practice Address - Phone:610-489-8786
Practice Address - Fax:610-489-6544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========OtherEIN