NPI 1063559961 · live from the CMS NPI Registry
Eye Associates Of New Mexico Ltd
Ophthalmology in Gallup, NM. National Provider Identifier 1063559961, active.
NPI record
| NPI | 1063559961 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 311 Nizhoni Blvd, Gallup, NM 87301 |
| Practice phone | 505-722-2268 |
| Mailing address | 8801 Horizon Blvd Ne, Suite 360, Albuquerque, NM 87113 |
| Enumerated | January 31, 2007 |
| Last updated | February 24, 2014 |
| Authorized official | Michelle Butcher, Credentialing Manager |
| Other names | Eye Associates Of New Mexico |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.