Organization
ADVANCED VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. GREGORY VICKERS OD (OWNER)
(715) 358-3937
Entity
Organization
Contact information
Practice address
9815 STATE HIGHWAY 70, SUITE 102, MINOCQUA, WI 54548-9769
(715) 358-3937
(715) 358-7677
Mailing address
9815 STATE HIGHWAY 70, SUITE 102, MINOCQUA, WI 54548-9769
(715) 358-3937
(715) 358-7677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2838-035
WI
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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