| NPI | 1083188585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMY PIERCE Owner 505-299-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 156FX1100X Technician/Technologist, Ophthalmic | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2021-01-11 |