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Contact Information

BEHAVIORAL OPTOMETRY
174 TESUQUE VILLAGE RD
UNIT 458
TESUQUE, NM87574-2000
 Phone: 505-469-4949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for BEHAVIORAL OPTOMETRY · (Female)

NPI Number 1174975114
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2016
Last updated 07/01/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 398
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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