NPI | 1518147602 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA ANN DIETERICHS Practice Manager 505-864-8992 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NM NM0P2390) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2007-11-06 |