Individual
DR. FARID ELIE KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
1500 S 2ND ST STE 5, GALLUP, NM 87301-5898
(505) 979-0894
(505) 726-2871
Mailing address
1912 MOUNTAIN VIEW DR, GALLUP, NM 87301-5644
(505) 979-0894
(505) 726-2871
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
NM536
NM
152WC0802X
Corneal and Contact Management Optometrist
NM536
NM
152WP0200X
Pediatric Optometrist
NM536
NM
152WV0400X
Vision Therapy Optometrist
Primary
NM536
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25676
SPECTERA
NM
01
—
44840
DAVIS VISION
NM
05
—
52032019
—
NM
Enumeration date
10/23/2006
Last updated
09/11/2025
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