Organization
RUIDOSO NATIONAL OPTICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL G MCDONALD O.D. (PROVIDER)
(505) 378-7148
Entity
Organization
Contact information
Practice address
1800 HIGHWAY 70 WEST, RUIDOSO DOWNS, NM 88346
(505) 255-9410
(505) 255-9875
Mailing address
301 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-2919
(505) 378-7148
(505) 378-1117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
251
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134113541
DOCTOR INDIVIDUAL NPI
NM
05
—
48374016
—
NM
Enumeration date
07/10/2008
Last updated
07/10/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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