NPI 1629805965 · live from the CMS NPI Registry
Shelby Baham, OD
Optometrist in Zuni, NM. National Provider Identifier 1629805965, active.
NPI record
| NPI | 1629805965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | Po Box 467, Zuni, NM 87327 |
| Practice phone | 505-782-4431 |
| Enumerated | September 19, 2024 |
| Last updated | September 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT.0004038 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.