Organization
ADVANCED SIERRA EYECARE, INC.
Active
Other names
Dr. Benjamin C. Seljestad
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN CLARK SELJESTAD OD (OD)
(775) 884-2020
Entity
Organization
Contact information
Practice address
3033 N CARSON ST, CARSON CITY, NV 89706-0153
(775) 884-2020
(775) 234-5434
Mailing address
3450 CONTE DR, CARSON CITY, NV 89701-4896
(775) 884-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
490
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13805
SPECTERA
NV
01
—
7944377
AETNA
NV
Enumeration date
04/20/2007
Last updated
01/04/2022
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