| NPI | 1881761088 |
|---|---|
| Doing Business As | FAMILY VISION CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANATOLE FRANK GUTOWSKI Optometric Physician 575-461-4233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM 333) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NM 337) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-06-14 |