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Organization
OPTOMETRICS PC
Active
Organization
OPTOMETRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H MENEAKIS OD (OWNER)
(505) 753-7355
Entity
Organization
Contact information
Practice address
612 N PASEO DE ONATE, ESPANOLA, NM 87532-2963
(505) 753-7355
(505) 753-7533
Mailing address
612 N PASEO DE ONATE, ESPANOLA, NM 87532-2963
(505) 753-7355
(505) 753-7533
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
NM307
NM
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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