NPI 1265885990

Alicia Thibodeaux, OD

Practitioner Optometrist Gallup, NM

Practice location

Address: 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone: (505) 722-1000

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 9836847-9934 (UT)

Other Optometrist providers in New Mexico →

Registry record

NPI: 1265885990
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2016
Record last updated: 17 Apr 2017

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.