NPI 1902198500 · live from the CMS NPI Registry
Jeremy Botwin, O.D.
Optometrist in Santa Fe, NM. National Provider Identifier 1902198500, active.
NPI record
| NPI | 1902198500 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 444 Saint Michaels Dr, Santa Fe, NM 87505 |
| Practice phone | 505-954-4442 |
| Enumerated | May 15, 2011 |
| Last updated | December 13, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 634 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.