Organization
L VICTOR SANDOVAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L VICTOR SANDOVAL O.D. (OWNER/PRESIDENT)
(575) 522-8334
Entity
Organization
Contact information
Practice address
700 S TELSHOR BLVD, STE #1534, LAS CRUCES, NM 88011-8608
(575) 522-8334
(575) 522-1065
Mailing address
700 S TELSHOR BLVD, STE #1534, LAS CRUCES, NM 88011
(575) 522-8334
(575) 522-1065
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2260
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99429268
—
NM
Enumeration date
10/15/2007
Last updated
12/22/2011
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