NPI 1295054351 · live from the CMS NPI Registry
Eye Care Of New Mexico, INC.
Optometrist in Albuquerque, NM. National Provider Identifier 1295054351, active.
NPI record
| NPI | 1295054351 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 500 Eubank Blvd Se, Ste. A, Albuquerque, NM 87123 |
| Practice phone | 505-323-2555 |
| Enumerated | May 27, 2010 |
| Last updated | June 26, 2012 |
| Authorized official | Wende Waggoner, President/Optometrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 547 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.