Eye Care of New Mexico, Inc.
NPI #1295054351 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1295054351
- Entity Type
- Organization
- Organization Name
- Eye Care of New Mexico, Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- May 27, 2010
- Last Updated
- Jun 26, 2012
Practice Location
- Address
- 500 EUBANK BLVD SE
- Address 2
- STE. A
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87123-3338
- Phone
- (505) 323-2555
Authorized Official
- Name
- DR. WENDE T. WAGGONER, O.D., M.P.H., M.S.
- Title
- PRESIDENT/OPTOMETRIST
- Phone
- (505) 323-2555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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