NPI 1619942398 · live from the CMS NPI Registry
Karlyn Gansel Ang, O.D.
Optometrist in Albuquerque, NM. National Provider Identifier 1619942398, active.
NPI record
| NPI | 1619942398 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 5343 Wyoming Blvd Ne, Suite 2, Albuquerque, NM 87109 |
| Practice phone | 505-332-2020 |
| Mailing address | 5443 Wyoming Blvd Ne, Ste 2, Albuquerque, NM 87109 |
| Enumerated | February 17, 2006 |
| Last updated | October 18, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 388 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.