Whalio Doctors

NPI 1669025425

David Alan Gutowski, OD

Practitioner Optometrist Ruidoso, NM

Practice location

Address
159 Mescalero Trl STE 1, Ruidoso, NM 88345-6089
Phone
(575) 257-5029
Fax
(575) 257-9096

Registered specialties (5)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT722 (NM)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT.0003525 (CO)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1022 (NV)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence OD60970794 (WA)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4470 (OR)

Registry record

NPI
1669025425
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jul 2019
Record last updated
20 Nov 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.