Individual
DR. MICHAEL MENEAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
612 N PASEO DE ONATE, STE C, ESPANOLA, NM 87532-2963
(505) 753-7355
(505) 753-7533
Mailing address
612 N PASEO DE ONATE, STE C, ESPANOLA, NM 87532-2963
(505) 753-7355
(505) 753-7533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
307
NM
Other
Enumeration date
08/02/2006
Last updated
01/19/2015
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