Organization
FILLMORE EYE CLINIC INCORPORATED
Active
Organization
FILLMORE EYE CLINIC INCORPORATED
Active
Parent organization
FILLMORE EYE CLINIC INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
FILLMORE EYE CLINIC INCORPORATED
Authorized official
PARLEY D FILLMORE MD (PRESIDENT)
(575) 434-1200
Entity
Organization
Contact information
Practice address
1120 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 443-0200
Mailing address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 443-0200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NM2009-0470
NM
Other
Enumeration date
09/22/2015
Last updated
02/28/2020
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