Individual
TERRY W MENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
215 1/2 N FIRST ST, GRANTS, NM 87020-2540
(505) 287-4833
Mailing address
215 1/2 N FIRST ST, GRANTS, NM 87020-2540
(505) 287-4833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
202
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155767181
BCBS
NM
01
—
201006763
PRES
NM
01
—
33580
DAVIS
NM
05
—
P8220
—
NM
Enumeration date
12/22/2006
Last updated
07/25/2013
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