MEDICARE: ADVANCED VISION CARE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	53115	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053497545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED VISION CARE, P.C.

Provider Business Mailing Address
First Line	:	333 TURWILL LN
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49006-5225
Country	:	US
Telephone Number	:	269-373-3937
Fax Number	:	269-373-8881

Provider Business Practice Location Address
First Line	:	333 TURWILL LN
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49006-5225
Country	:	US
Telephone Number	:	269-373-3937
Fax Number	:	269-373-8881

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH WILLIAM HOSNER
Credential	:	M.D.
Telephone Number	:	269-373-3937

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	02/19/2008

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