Pro Vision Optical
Eyewear Supplier (Equipment, not the service) in Gallup, NM. Organization (NPI-2).
NPI number1295259554
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1295259554
- Entity type
- Organization (NPI-2)
- Legal business name
- Pro Vision Optical
- Organization subpart
- No
- Enumeration date
- Jul 28, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
1300 W Maloney Ave Ste 208Gallup, NM 87301-3325
Phone 505-722-2294 · Fax 505-726-2871
Mailing address
1300 W Maloney Ave Ste 208Gallup, NM 87301-3325
Phone 505-722-2294 · Fax 505-726-2871
Authorized official
Norma Karram
Owner
5052699099
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All 6 Eyewear Supplier providers in Gallup · All 2,281 providers in Gallup
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