Organization
FAMILY VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRYCE REBER O. D. (PARTNER)
(575) 396-2522
Entity
Organization
Contact information
Practice address
112 W AVENUE A, LOVINGTON, NM 88260-4212
(575) 396-2522
(575) 396-7655
Mailing address
112 W AVENUE A, LOVINGTON, NM 88260-4212
(575) 396-2522
(575) 396-7655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00P493
BLUE CROSS BLUE SHEILD
NM
05
—
P1875
—
NM
Enumeration date
12/21/2006
Last updated
09/30/2014
Update your record
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