Whalio Doctors

NPI 1134127004

Mario J. Andreatta, OD

Practitioner Optometrist Rio Rancho, NM

Practice location

Address
4025 Jackie Rd SE, Rio Rancho, NM 87124-6610
Phone
(505) 892-8411
Fax
(505) 891-5497

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OP2438 (NM)

Registry record

NPI
1134127004
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jul 2005
Record last updated
23 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.