NPI 1326104787

Susan Long

Practitioner Optician Gallup, NM

Practice location

Address: 1300 W I-40 Frontage Rd STE 322, Gallup, NM 87301-3323
Phone: (505) 722-3030
Fax: (505) 722-0367

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 03-037772-00-2 (NM)

Other Technician/Technologist providers in New Mexico →

Registry record

NPI: 1326104787
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2006
Record last updated: 8 Jul 2007

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.