NPI 1003095662 · live from the CMS NPI Registry
Bobby G Painter OD
Optometrist in Farmington, NM. National Provider Identifier 1003095662, active.
NPI record
| NPI | 1003095662 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3280 N Butler Ave, Farmington, NM 87401 |
| Practice phone | 505-325-2015 |
| Enumerated | October 31, 2007 |
| Last updated | December 14, 2007 |
| Authorized official | Bobby Painter, Owner/Optometrist |
| Other names | High Desert Eye Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.