NPI 1174743280

Fashion Optical and Sunwear

Organisation Eyewear Supplier Albuquerque, NM

Practice location

Address: 7415 Menaul Blvd NE, Albuquerque, NM 87110
Phone: (505) 888-3991
Fax: (505) 830-2974

Authorised official

Name: Annette M Baca
Title: Manager
Phone: (505) 888-3991

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 03074110006 (NM)

Other Eyewear Supplier providers in New Mexico →

Registry record

NPI: 1174743280
Entity type: Organization
NPI issued: 30 Apr 2007
Record last updated: 22 Aug 2020

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.