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Contact Information

LARRY BUSSANMAS, OD
3728 N PRINCE ST
CLOVIS, NM88101-9744
 Phone: 505-742-0994
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LARRY BUSSANMAS · (Male)

NPI # 1922295419
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/27/2007
Last updated 09/27/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 261
  • TX License # 02551
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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