# FILLMORE EYE CLINIC INC, ASC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FILLMORE EYE CLINIC INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356660252
- **Legal business name:** FILLMORE EYE CLINIC INC
- **Authorized official:** PARLEY D FILLMORE MD, PHD (PRESIDENT)
- **Authorized official phone:** (575) 434-1200

## Contact information

- **Practice address:** 1124 10TH ST, ALAMOGORDO, NM 88310-6414
- **Practice address phone:** (575) 434-1200
- **Practice address fax:** (575) 437-3947
- **Mailing address:** 1124 10TH ST, ALAMOGORDO, NM 88310-6414
- **Mailing address phone:** (575) 434-1200
- **Mailing address fax:** (575) 437-3947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 6134 | NM | Yes |

## Other

- **Enumeration date:** 05/18/2010
- **Last updated:** 05/18/2010