Organization
EYE CARE OF NEW MEXICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDE T. WAGGONER O.D., M.P.H., M.S. (PRESIDENT/OPTOMETRIST)
(505) 323-2555
Entity
Organization
Contact information
Practice address
500 EUBANK BLVD SE, STE. A, ALBUQUERQUE, NM 87123-3338
(505) 323-2555
(505) 323-0888
Mailing address
500 EUBANK BLVD SE, STE. A, ALBUQUERQUE, NM 87123-3338
(505) 323-2555
(505) 323-0888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
547
NM
Other
Enumeration date
05/27/2010
Last updated
06/26/2012
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