NPI 1124754395 · live from the CMS NPI Registry
Eye-Site Roswell LLC
Optometrist in Roswell, NM. National Provider Identifier 1124754395, active.
NPI record
| NPI | 1124754395 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1100 N Main, Roswell, NM 88201 |
| Practice phone | 575-397-3611 |
| Mailing address | 1811 N Dal Paso St, Hobbs, NM 88240 |
| Enumerated | July 28, 2022 |
| Last updated | July 28, 2022 |
| Authorized official | Susan Munoz, Billing Specialist |
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.