Anasazi Eyecare LLC
NPI #1902081458 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1902081458
- Entity Type
- Organization
- Organization Name
- Anasazi Eyecare LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WPEC , INC.
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 3, 2008
- Last Updated
- Jan 3, 2008
Practice Location
- Address
- 800 TRINITY DR STE J
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-4105
- Phone
- (505) 662-7000
Authorized Official
- Name
- DR. WENDE WAGGONER
- Title
- PRESIDENT
- Phone
- (505) 662-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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