| NPI | 1710966049 |
|---|---|
| Former Legal Business Name | ADVANCED VISION CENTERS |
| Entity Type | Organization |
| Authorized Contact | JAY C NELSON O PT Ometrist/Co Owner 701-225-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2010-02-22 |