Organization
SOUTHWEST EYEWEAR INC
Active
Other names
Southwest Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA ANN TEAHAN (SECRETARY TREASURER)
(505) 346-0500
Entity
Organization
Contact information
Practice address
7110 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-4867
(505) 346-0500
(505) 346-0164
Mailing address
7110 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-4867
(505) 346-0500
(505) 346-0164
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2499747
NM
Other
Enumeration date
12/08/2006
Last updated
04/01/2008
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