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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

NPI Number 1700994944
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/28/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
NM License # 2328
NM Medicaid P0987
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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