NPI 1710092531 · live from the CMS NPI Registry
Terri D Eachus, OD
Optometrist in Roswell, NM. National Provider Identifier 1710092531, active.
NPI record
| NPI | 1710092531 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 204 E College Blvd, Roswell, NM 88201 |
| Practice phone | 505-625-9800 |
| Enumerated | August 20, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 319 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.