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Contact Information

EYE CARE OF NEW MEXICO, INC.
500 EUBANK BLVD SE
STE. A
ALBUQUERQUE, NM87123-3338
 Phone: 505-323-2555
 Fax: 505-323-0888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE CARE OF NEW MEXICO, INC.

NPI # 1295054351
LBN Legal business name EYE CARE OF NEW MEXICO, INC.
Authorized official WENDE WAGGONER - (PRESIDENT/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2010
Last updated 06/26/2012 - About 14 years ago
Identifiers
NM License # 547
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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