# ADV VISION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588194104
- **Authorized official:** DR. PAUL J DOUGHERTY MD (OWNER)
- **Authorized official phone:** (805) 987-5300

## Contact information

- **Practice address:** 525 PLAZA DR STE 304, SANTA MARIA, CA 93454-6955
- **Practice address phone:** (805) 987-5300
- **Mailing address:** 835 AEROVISTA PL STE 110, SAN LUIS OBISPO, CA 93401-8741
- **Mailing address phone:** (805) 987-5300
- **Mailing address fax:** (805) 383-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 07/12/2023