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Organization

ALBUQUERQUE EYE PROSTHETICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROY DALE MCDONNELL B.C.O (PRESIDENT)
(505) 884-2927
Entity
Organization

Contact information

Practice address
4117 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1102
(505) 884-2927
(505) 884-2672
Mailing address
4117 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1102
(505) 884-2927
(505) 884-2672

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T2326
NM
Enumeration date
10/12/2006
Last updated
08/22/2020
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