NPI | 1710965827 |
---|---|
Doing Business As | BUENA VISTA EYE CARE |
Entity Type | Organization |
Authorized Contact | SHINICHI SEAN HAMASHIGE President 505-983-2592 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NM 2385) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2012-10-25 |