Organization
EYE-SITE ROSWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN DIANE MUNOZ (BILLING SPECIALIST)
(575) 397-3611
Entity
Organization
Contact information
Practice address
1100 N MAIN, ROSWELL, NM 88201-4909
(575) 397-3611
Mailing address
1811 N DAL PASO ST, HOBBS, NM 88240-3042
(575) 397-3611
(575) 393-1544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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