Ruidoso National Optical Center

NPI #1316100225 in Ruidoso Downs, New Mexico

Provider Information

NPI Number: 1316100225
Entity Type: Organization
Organization Name: Ruidoso National Optical Center
Primary Specialty: Optometrist
Enumeration Date: Jul 10, 2008
Last Updated: Jul 10, 2008

Practice Location

Address: 1800 HIGHWAY 70 WEST
City: Ruidoso Downs
State: New Mexico
ZIP Code: 88346
Phone: (505) 255-9410

Authorized Official

Name: DR. BILL G MCDONALD, O.D.
Title: PROVIDER
Phone: (505) 378-7148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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