# OPTOMETRICS PC

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

## Provider details

- **NPI number:** 1679011191
- **Authorized official:** DR. MICHAEL H MENEAKIS OD (OWNER)
- **Authorized official phone:** (505) 753-7355

## Contact information

- **Practice address:** 612 N PASEO DE ONATE, ESPANOLA, NM 87532-2963
- **Practice address phone:** (505) 753-7355
- **Practice address fax:** (505) 753-7533
- **Mailing address:** 612 N PASEO DE ONATE, ESPANOLA, NM 87532-2963
- **Mailing address phone:** (505) 753-7355
- **Mailing address fax:** (505) 753-7533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | NM307 | NM | Yes |

## Other

- **Enumeration date:** 02/03/2017
- **Last updated:** 02/03/2017