Visionwest, Inc.

NPI #1598029308 in Espanola, New Mexico

Provider Information

NPI Number: 1598029308
Entity Type: Organization
Organization Name: Visionwest, Inc.
Primary Specialty: Optometrist
Enumeration Date: Jun 26, 2012
Last Updated: Oct 25, 2012

Practice Location

Address: 1610 N RIVERSIDE DR
City: Espanola
State: New Mexico
ZIP Code: 87532-8063
Phone: (505) 747-0433

Authorized Official

Name: DR. DWIGHT THIBODEAUX, DO
Title: OPTOMETRIST / OWNER
Phone: (505) 984-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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