South West Eyewear

NPI #1770731168 in Gallup, New Mexico

Provider Information

NPI Number: 1770731168
Entity Type: Organization
Organization Name: South West Eyewear
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 28, 2008
Last Updated: Aug 28, 2008

Practice Location

Address: 210 W COAL AVE
City: Gallup
State: New Mexico
ZIP Code: 87301-6306
Phone: (505) 722-2121

Authorized Official

Name: MR. RUSSELL FRANCIS
Title: OWNER
Phone: (505) 722-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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