NPI 1043202351

Robert a Gracey, OD

Practitioner Optometrist Jemez Pueblo, NM

Practice location

Address: 110 Sheep Springs, Jemez Pueblo, NM 87024-0279
Phone: (575) 834-7413
Fax: (575) 834-3022
Mailing address: PO Box 279, Jemez Pueblo, NM 87024-0279

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3471TG (TX)

Other Optometrist providers in New Mexico →

Registry record

NPI: 1043202351
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2005
Record last updated: 23 Jun 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.