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Contact Information

ROBERT L DORAZIO, OD
225 NIZHONI BLVD
GALLUP, NM87301
 Phone: 505-863-5747
 Fax: 505-863-5101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBERT L DORAZIO · (Male)

NPI # 1700994944
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/28/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 2328
  • NM Medicaid P0987
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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