NPI 1124297148

Benjamin Clark Seljestad, OD

Practitioner Optometrist Carson City, NV

Practice location

Address: 700 Old Clear Creek Rd, Carson City, NV 89705-6853
Phone: (775) 884-2020

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 490 (NV)

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Registry record

NPI: 1124297148
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2008
Record last updated: 23 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.