NPI 1235456138 · live from the CMS NPI Registry
Jamie Dunn
Optometrist in Los Lunas, NM. National Provider Identifier 1235456138, active.
NPI record
| NPI | 1235456138 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1603 Main St Sw, Los Lunas, NM 87031 |
| Practice phone | 505-865-6100 |
| Mailing address | 8801 Horizon Blvd Ne Ste 360, Albuquerque, NM 87113 |
| Enumerated | May 1, 2010 |
| Last updated | October 22, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 637 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.