Organization
ADVANCED VISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAHBA JALALI OD (OWNER, LLC)
(573) 447-2020
Entity
Organization
Contact information
Practice address
4200 MERCHANT ST, SUITE 103, COLUMBIA, MO 65203-5816
(573) 447-2020
(573) 447-2042
Mailing address
4200 MERCHANT ST, SUITE 103, COLUMBIA, MO 65203-5816
(573) 447-2020
(573) 447-2042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2001006508
MO
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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