NPI 1376670992 · live from the CMS NPI Registry
Anasazi Eyecare Dba Visionwest
Optometrist in Los Alamos, NM. National Provider Identifier 1376670992, active.
NPI record
| NPI | 1376670992 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 800 Trinity Dr Ste J, Los Alamos, NM 87544 |
| Practice phone | 505-662-7000 |
| Enumerated | February 28, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Wende Waggoner, Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.