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Contact Information

QUINT DI GIACOMO, OD
112 W HILL AVE
GALLUP, NM87301-6218
 Phone: 505-722-2289
 Fax: 505-726-6208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for QUINT DI GIACOMO · (Male)

NPI # 1598889891
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/19/2007
Last updated 03/01/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 01246
  • NM License # OP2281
  • NM Medicaid P0516
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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