Organization
JAMES H DUDEN
Active
Other names
Optical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H DUDEN (OWNER)
(505) 762-5266
Entity
Organization
Contact information
Practice address
2200 NORTH MAIN ST, SUITE 9, CLOVIS, NM 88101
(505) 762-5266
(505) 762-5266
Mailing address
2200 NORTH MAIN ST, SUITE 9, CLOVIS, NM 88101
(505) 762-5266
(505) 762-5266
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39726
DAVIS VISION
—
01
—
NM0094
EYE MED VISION CARE
—
05
—
P8824
—
NM
Enumeration date
03/28/2007
Last updated
07/10/2008
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