| NPI | 1104868520 |
|---|---|
| Doing Business As | EYE ASSOCIATES OF NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ROLANDE BUTCHER Credentialing Administrator 505-828-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2017-03-13 |