NPI 1114058005 · live from the CMS NPI Registry
Albuquerque Associates Of Optometry
Optometrist in Albuquerque, NM. National Provider Identifier 1114058005, active.
NPI record
| NPI | 1114058005 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3701 Eubank Blvd Ne, Albuquerque, NM 87111 |
| Practice phone | 505-298-2020 |
| Enumerated | March 9, 2007 |
| Last updated | September 11, 2009 |
| Authorized official | Frank Chinisci, Coowner |
| Other names | Sandia Vision Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2326 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.