National Provider Identifier Database

ROBERT L DORAZIO, OD – NPI #1700994944
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

ROBERT L DORAZIO, OD
225 NIZHONI BLVD
GALLUP, NM87301
Phone: 505-863-5747
Fax: 505-863-5101
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ROBERT L DORAZIO

NPI Number 1700994944
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/28/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • NM License #: 2328
  • NM Medicaid: P0987
Hospital affiliation n/a

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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