NPI 1104005891 · live from the CMS NPI Registry
Eyesite Ltd
Optometrist in Carlsbad, NM. National Provider Identifier 1104005891, active.
NPI record
| NPI | 1104005891 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 201 W Fox St, Carlsbad, NM 88220 |
| Practice phone | 505-234-9526 |
| Enumerated | October 30, 2007 |
| Last updated | November 14, 2007 |
| Authorized official | Wayne Hamm, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | nm2223 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.