| NPI | 1013121045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL G MCDONALD President 505-257-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NM 251) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-11-27 |