Organization
ADV VISION LLC
Active
Organization
ADV VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J DOUGHERTY MD (OWNER)
(805) 987-5300
Entity
Organization
Contact information
Practice address
525 PLAZA DR STE 304, SANTA MARIA, CA 93454-6955
(805) 987-5300
Mailing address
835 AEROVISTA PL STE 110, SAN LUIS OBISPO, CA 93401-8741
(805) 987-5300
(805) 383-7900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
07/12/2023
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