NPI 1164823142 · live from the CMS NPI Registry
Nicholas E Bem, OD
Optometrist in Cannon Afb, NM. National Provider Identifier 1164823142, active.
NPI record
| NPI | 1164823142 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 27th Special Operations Medical Group, 224 W D.L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 |
| Practice phone | 575-904-3881 |
| Enumerated | September 10, 2014 |
| Last updated | March 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 11106297-9934 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.