| NPI | 1316136443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L VICTOR SANDOVAL Owner/President 575-522-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NM 2260) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2011-12-22 |