Organization
EYESITE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE F HAMM OD (PRESIDENT)
(505) 397-3611
Entity
Organization
Contact information
Practice address
201 W FOX ST, CARLSBAD, NM 88220-5736
(505) 234-9526
Mailing address
201 W FOX ST, CARLSBAD, NM 88220-5736
(505) 234-9526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NM2223
NM
Other
Enumeration date
10/30/2007
Last updated
11/14/2007
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