NPI 1174683403

Southwest Eyewear INC

Organisation Eyewear Supplier Albuquerque, NM

Practice location

Address: 7110 Wyoming Blvd NE, Albuquerque, NM 87109-4867
Phone: (505) 346-0500
Fax: (505) 346-0164

Authorised official

Name: Victoria Ann Teahan
Title: Secretary Treasurer
Phone: (505) 346-0500

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 2499747 (NM)

Other Eyewear Supplier providers in New Mexico →

Registry record

NPI: 1174683403
Entity type: Organization
NPI issued: 8 Dec 2006
Record last updated: 1 Apr 2008

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.