NPI 1992282206 · live from the CMS NPI Registry
Jarrett Wayne Dotson, OD
Optometrist in Albuquerque, NM. National Provider Identifier 1992282206, active.
NPI record
| NPI | 1992282206 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 5700 San Antonio Dr Ne, Albuquerque, NM 87109 |
| Practice phone | 505-247-1073 |
| Mailing address | 2019 Cougar Run Ct Se, Albuquerque, NM 87123 |
| Enumerated | July 19, 2018 |
| Last updated | June 30, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT708 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.