| NPI | 1366522344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE F HAMM President 505-397-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM 223) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NM 230) |
| 152W00000X Optometrist (Licence: NM 574) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-09-05 |