Advanced Vision Care Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ADVANCED VISION CARE CENTER, LLC

Doing business as

Masoud Ghohestani OD

Practice address

100 Sycamore Estates Dr
Aurora, IN 47001

Phone

(812) 926-4836

Fax

(812) 926-4651

NPI assigned

May 19, 2006

Last updated

Jan 24, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Masoud Ghohestant, O D

Title

President

Phone

(812) 926-4836

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Masoud Ghohestani OD Doing business as

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith William Blankman, OD

  • Optometrist
  • Lawrenceburg, IN
  • NPI 1447382593
  Medicare reassignment NPD
• Masoud Ghohestani, O.D.

  • Optometrist
  • Aurora, IN
  • NPI 1013961457

  OH

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1609829480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4174",
            "city": "LAWRENEBURG",
            "state": "IN",
            "postal_code": "470254174",
            "telephone_number": "812-926-4836",
            "fax_number": "812-926-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SYCAMORE ESTATES DR",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "47001",
            "telephone_number": "812-926-4836",
            "fax_number": "812-926-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VISION CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "GHOHESTANT",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-926-4836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300024163",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2278664",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masoud Ghohestani OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista Leigh Adkins, RPH
• Michelle Catherine Allison
• Aurora Emergency Rescue, Inc.
• Kaitlyn Bailey, CADACII
• Emily Barrett
• Angie Diane Bauer, CNP

• Clinic/Center in Aurora, IN
• Providers in Aurora, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.