Clovis Vision Associates PA

NPI #1669466900 in Clovis, New Mexico

Provider Information

NPI Number: 1669466900
Entity Type: Organization
Organization Name: Clovis Vision Associates PA
Primary Specialty: Optometrist
Enumeration Date: Sep 1, 2005
Last Updated: Mar 28, 2014

Practice Location

Address: 1217 PILE ST
City: Clovis
State: New Mexico
ZIP Code: 88101-5944
Phone: (575) 763-5522

Authorized Official

Name: DR. THOMAS GREGORY WILLMON, O.D.
Title: PARTNER
Phone: (575) 763-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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