Med Park Optical Shoppe
NPI #1437254992 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1437254992
- Entity Type
- Organization
- Organization Name
- Med Park Optical Shoppe
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Sep 26, 2008
Practice Location
- Address
- 1300 EL PASEO
- Address 2
- STE F
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-6039
- Phone
- (575) 524-2666
Authorized Official
- Name
- MR. PAUL STEVENSON, ABOC
- Title
- OWNER
- Phone
- (575) 524-2666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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