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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