| NPI | 1598029308 |
|---|---|
| Doing Business As | DWIGHT THIBODEAUX |
| Entity Type | Organization |
| Authorized Contact | DWIGHT THIBODEAUX Optometrist / Owner 505-984-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM NM300) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-10-25 |