Organization
BEYOND 20 20 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL ROLAND O.D. (CEO)
(505) 884-8722
Entity
Organization
Contact information
Practice address
6600 MENAUL BLVD NE, SUITE M5A, ALBUQUERQUE, NM 87110-3449
(505) 884-8722
(505) 872-0405
Mailing address
6600 MENAUL BLVD NE, SUITE M5A, ALBUQUERQUE, NM 87110-3449
(505) 884-8722
(505) 872-0405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
557
NM
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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