NPI 1134522493 · live from the CMS NPI Registry
Amanda Colburn, O.D.
Optometrist in Farmington, NM. National Provider Identifier 1134522493, active.
NPI record
| NPI | 1134522493 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 113 W. Broadway, Farmington, NM 87401 |
| Practice phone | 505-326-2020 |
| Enumerated | October 1, 2014 |
| Last updated | October 1, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 665 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.