NPI 1063559961
Eye Associates of New Mexico LTD
Practice location
- Address
- 311 Nizhoni Blvd, Gallup, NM 87301
- Phone
- (505) 722-2268
- Fax
- (505) 863-2874
- Mailing address
- 8801 Horizon Blvd NE Suite 360, Albuquerque, NM 87113-1533
Authorised official
- Name
- Michelle R. Butcher
- Title
- Credentialing Manager
- Phone
- (505) 828-4923
Registered specialties (3)
Ophthalmology Physician
Primary
Optometrist
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1063559961
- Entity type
- Organization
- NPI issued
- 31 Jan 2007
- Record last updated
- 24 Feb 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.