Organization
ADVANCED VISION CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R SELLERS O.D. (OWNER)
(520) 744-1711
Entity
Organization
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
213
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z144318
BCBS
AZ
Enumeration date
09/01/2010
Last updated
06/13/2011
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