Organization
ADVANCED VISION CENTERS PC
Active
Other names
Advanced Vision Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY C NELSON OD (OPTOMETRIST/CO-OWNER)
(701) 225-2020
Entity
Organization
Contact information
Practice address
446 3RD AVE W, DICKINSON, ND 58601
(701) 225-2020
(701) 483-5879
Mailing address
PO BOX 967, DICKINSON, ND 58602-0967
(701) 225-2020
(701) 483-5879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00729001
BLUE CROSS
OH
01
—
00866001
BLUE CROSS VISION
ND
05
—
60578
—
ND
01
—
CN8225
RAILROAD MEDICARE
—
Enumeration date
01/13/2006
Last updated
02/22/2010
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