NPI 1114193935 · live from the CMS NPI Registry
Botwin Eye Group PA
Optometrist in Santa Fe, NM. National Provider Identifier 1114193935, active.
NPI record
| NPI | 1114193935 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 444 Saint Michaels Dr, Building A, Santa Fe, NM 87505 |
| Practice phone | 505-954-4442 |
| Enumerated | May 1, 2008 |
| Last updated | July 13, 2009 |
| Authorized official | Mark Botwin, Owner |
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.