Anasazi Eye Care LLC
NPI #1548358492 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1548358492
- Entity Type
- Organization
- Organization Name
- Anasazi Eye Care LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 800 TRINITY DR
- Address 2
- SUITE J
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544
- Phone
- (505) 662-7000
Authorized Official
- Name
- WENDE WAGGONER, OD
- Title
- OWNER 100 SHAREHOLDER LLC
- Phone
- (505) 662-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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