NPI 1306519541

Samuel Smith, COA

Practitioner Ophthalmic Technician/Technologist Albuquerque, NM

Practice location

Address: 1501 San Pedro Dr SE, Albuquerque, NM 87108-5153
Phone: (505) 265-1711
Mailing address: 13 Bacus Ave APT 9, Durango, CO 81301-4161

Registered specialties

Ophthalmic Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156FX1100X Licence COA

Other Technician/Technologist providers in New Mexico →

Registry record

NPI: 1306519541
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2021
Record last updated: 25 Jul 2021

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.