| NPI | 1497808554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD S VIGIL Optometrist 505-883-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-10-18 |