NPI 1669466900 · live from the CMS NPI Registry
Clovis Vision Associates PA
Optometrist in Clovis, NM. National Provider Identifier 1669466900, active.
NPI record
| NPI | 1669466900 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1217 Pile St, Clovis, NM 88101 |
| Practice phone | 575-763-5522 |
| Mailing address | Po Box 700, Clovis, NM 88102 |
| Enumerated | September 1, 2005 |
| Last updated | March 28, 2014 |
| Authorized official | Thomas Willmon, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 291 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.