NPI | 1114058005 |
---|---|
Doing Business As | SANDIA VISION CLINIC |
Entity Type | Organization |
Authorized Contact | FRANK T CHINISCI COO Wner 505-298-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NM 2326) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2009-09-11 |