NPI 1700994944 · live from the CMS NPI Registry
Robert L Dorazio, OD
Eyewear Supplier (Equipment, not the service) in Gallup, NM. National Provider Identifier 1700994944, active.
NPI record
| NPI | 1700994944 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Eyewear Supplier (Equipment, not the service) 332H00000X |
| Practice location | 225 Nizhoni Blvd, Gallup, NM 87301 |
| Practice phone | 505-863-5747 |
| Enumerated | August 28, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 2328 (NM) |
| Eyewear Supplier (Equipment, not the service) primary | 332H00000X | 2328 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.