NPI 1255720983 · live from the CMS NPI Registry
Drs Mccloskey And Meneakis
Optometrist in Espanola, NM. National Provider Identifier 1255720983, active.
NPI record
| NPI | 1255720983 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 612 N Paseo De Onate, Espanola, NM 87532 |
| Practice phone | 505-753-7355 |
| Enumerated | January 19, 2015 |
| Last updated | January 19, 2015 |
| Authorized official | Michael Meneakis, Optometrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 231 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.