# L VICTOR SANDOVAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316136443
- **Authorized official:** DR. L VICTOR SANDOVAL O.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (575) 522-8334

## Contact information

- **Practice address:** 700 S TELSHOR BLVD, STE \#1534, LAS CRUCES, NM 88011-8608
- **Practice address phone:** (575) 522-8334
- **Practice address fax:** (575) 522-1065
- **Mailing address:** 700 S TELSHOR BLVD, STE \#1534, LAS CRUCES, NM 88011
- **Mailing address phone:** (575) 522-8334
- **Mailing address fax:** (575) 522-1065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 2260 | NM | Yes |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 12/22/2011