| NPI | 1568550002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E RODGERS M.D. Owner 505-891-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM 258) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 76-254) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |