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Contact Information

ROBERT R FONTENOT, OD
160 S CAMINO DEL PUEBLO
BERNALILLO, NM87004-6173
 Phone: 505-771-3937
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ROBERT R FONTENOT · (Male)

NPI Number 1396324380
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/06/2021
Last updated 08/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NM License # OPT733
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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