NPI 1548092430 · live from the CMS NPI Registry
Dallin Bassett OD LLC
Optometrist in Aztec, NM. National Provider Identifier 1548092430, active.
NPI record
| NPI | 1548092430 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 121 N Main Ave, Aztec, NM 87410 |
| Practice phone | 505-333-7278 |
| Mailing address | 4916 Kingsway Dr, Farmington, NM 87402 |
| Enumerated | August 19, 2024 |
| Last updated | August 19, 2024 |
| Authorized official | Dallin Bassett, Owner/Optometrist |
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.