Individual
MATHEW BAHRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
801 BUSH AVE, ARTESIA, NM 88210
(575) 736-2117
Mailing address
1124 10TH ST, MBAHRAMI19@GMAIL.COM, ALAMOGORDO, NM 88310
(575) 434-1200
(575) 437-3947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD1816
TN
152W00000X
Optometrist
Primary
OPT-2025-0013
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3943151
—
TN
Enumeration date
12/21/2006
Last updated
08/04/2025
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