Individual
DR. MICHAEL R SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7552 N LA CHOLLA BLVD, TUCSON, AZ 85741-2307
(520) 744-1711
(520) 744-7973
Mailing address
7552 N LA CHOLLA BLVD, TUCSON, AZ 85741-2307
(520) 744-1711
(520) 744-7973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0213
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001434561
MEDICARE SECURE HORIZONS
AZ
05
—
035304
—
AZ
01
—
21696
SPECTERA
AZ
01
—
2482968
VISION ONE
AZ
01
—
VAZ006568
AVESIS
AZ
Enumeration date
01/11/2007
Last updated
04/15/2008
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