| NPI | 1346685658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RICHARD VISE Optometrist 505-473-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM 411) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-08-13 |