Wellformed AI

NPI 1134450240 · live from the CMS NPI Registry

Eye Design LLC

Optometrist in Santa Fe, NM. National Provider Identifier 1134450240, active.

NPI record

NPI1134450240 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location41 Monterey Rd, Santa Fe, NM 87508
Practice phone505-466-4392
EnumeratedJanuary 29, 2010
Last updatedMarch 26, 2013
Authorized officialIngrid Mooney, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000X596 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.