| NPI | 1922057827 |
|---|---|
| Other Name | NEW MEXICO EYE CLINIC OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | PAULA VAUGHAN Office Manager 505-325-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-05-28 |