NPI 1255449161 · live from the CMS NPI Registry
Gordon Wayne Dyer, O.D.
Optometrist in Hobbs, NM. National Provider Identifier 1255449161, active.
NPI record
| NPI | 1255449161 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1300 N. Dal Paso, Hobbs, NM 88240 |
| Practice phone | 575-391-0560 |
| Enumerated | August 29, 2006 |
| Last updated | December 12, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 433 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.