| NPI | 1356431605 |
|---|---|
| Doing Business As | SHELLEY EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRENT EDWARD SHELLEY CEO/President 505-526-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM OP2549) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |