| NPI | 1679011191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H MENEAKIS Owner 505-753-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NM NM307) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |