Advanced Vision, LLC
Organization Active NPI Optometrist · Columbia, MO
NPI 1992998637 · NPPES record last updated Aug 27, 2007
Key facts
- NPI
- 1992998637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2001006508 (MO)
- Legal business name
- ADVANCED VISION, LLC
- Practice address
- 4200 Merchant St
Suite 103
Columbia, MO 65203-5816 - Phone
- (573) 447-2020
- Fax
- (573) 447-2042
- NPI assigned
- Aug 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Sahba Jalali, OD
- Title
- Owner, LLC
- Phone
- (573) 447-2020
Practitioners 1
National Provider Directory
Locations
2011 Corona Rd
Ste 201
Columbia, MO 65203
Phone (573) 447-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2001006508 | MO | Yes |
Addresses
Primary practice location
4200 Merchant St
Suite 103
Columbia, MO 65203-5816
Mailing address
4200 Merchant St
Suite 103
Columbia, MO 65203-5816
Phone (573) 447-2020
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.