Organization · NPI-2

Eye Associates Of New Mexico, Ltd.

Durable Medical Equipment & Medical Supplies · Albuquerque, NM

NPI number1811034739

StatusActive

Last updated in NPPESOct 28, 2013

Details

NPI: 1811034739
Entity type: Organization (NPI-2)
Legal business name: Eye Associates Of New Mexico, Ltd.
Organization subpart: No
Enumeration date: Jan 31, 2007
Last updated: Oct 28, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332B00000X	Durable Medical Equipment & Medical Supplies	–	–	Yes
152W00000X	Optometrist	–	–
156FX1800X	Technician/Technologist, Optician	–	–
207W00000X	Ophthalmology	–	–

Other names

Eye Associates Of New Mexico (Doing Business As)

Practice location

806 Dr Martin Luther King Jr Ave Ne
Albuquerque, NM 87102-3657

Phone 505-842-6575 · Fax 505-243-3475

Mailing address

8801 Horizon Blvd Ne
Suite 360
Albuquerque, NM 87113-1533

Phone 505-246-2622 · Fax 505-213-0103

Authorized official

Carole Jean Wright
Chief Administrative Officer
5057861335

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