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
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