Provider Demographics
NPI:1386892420
Name:T.S. ADVANCED EYE CARE, INC.
Entity type:Organization
Organization Name:T.S. ADVANCED EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:608-333-6970
Mailing Address - Street 1:2150 DEMING WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5507
Mailing Address - Country:US
Mailing Address - Phone:608-824-3963
Mailing Address - Fax:608-824-3964
Practice Address - Street 1:2150 DEMING WAY
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-5507
Practice Address - Country:US
Practice Address - Phone:608-824-3963
Practice Address - Fax:608-824-3964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty