Organization
ELITE EYECARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SCOTT SELLERS OD (OPTOMETRIST)
(928) 792-4455
Entity
Organization
Contact information
Practice address
3383 W. MAIN ST., THATCHER, AZ 85552
(928) 792-4455
(928) 792-4463
Mailing address
3383 W. MAIN ST., THATCHER, AZ 85552-5558
(928) 792-4455
(928) 792-4463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352532
—
AZ
Enumeration date
01/25/2018
Last updated
06/11/2019
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