PRO VISION OPTICAL; NPI #1295259554

Contact Information

PRO VISION OPTICAL

1300 W MALONEY AVE STE 208
GALLUP, NM 87301-3325

Phone: 505-722-2294
Fax: 505-726-2871
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for PRO VISION OPTICAL

NPI #	`1295259554`
LBN Legal business name	PRO VISION OPTICAL
Authorized official	NORMA KARRAM - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/28/2017
Last updated	07/21/2022 - About 4 years ago
Identifiers	n/a

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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PRO VISION OPTICAL

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for PRO VISION OPTICAL

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