Organization · NPI-2

Eye Associates Of New Mexico Ltd

Technician/Technologist, Optician · Albuquerque, NM

NPI number1346003241
StatusActive
Last updated in NPPESOct 22, 2024

Details

NPI
1346003241
Entity type
Organization (NPI-2)
Legal business name
Eye Associates Of New Mexico Ltd
Organization subpart
No
Enumeration date
Feb 2, 2024
Certification date
Oct 22, 2024
Last updated
Oct 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Eye Associates Of New Mexico (Doing Business As)

Practice location

4411 The 25 Way Ne Ste 325
Albuquerque, NM 87109-5853

Phone 505-823-4411 · Fax 505-343-6085

Mailing address

8801 Horizon Blvd Ne Ste 360
Albuquerque, NM 87113-1563

Phone 505-828-4923 · Fax 505-213-0103

Authorized official

Michelle R. Butcher
Credentialing Administrator
5058284923

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