NPI 1760084719 · live from the CMS NPI Registry
Derek Clifton, OD
Optometrist in Las Cruces, NM. National Provider Identifier 1760084719, active.
NPI record
| NPI | 1760084719 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 780 S Walnut St Bldg 4, Las Cruces, NM 88001 |
| Practice phone | 575-523-5300 |
| Mailing address | Po Box 819, Las Cruces, NM 88004 |
| Enumerated | November 14, 2020 |
| Last updated | November 20, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 718 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.