Organization
DR ALISSA M IRONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISSA M IRONS OD (OWNER/OPTOMETRIST)
(505) 247-3463
Entity
Organization
Contact information
Practice address
201 SLATE AVE NW, ALBUQUERQUE, NM 87102
(505) 247-3463
(505) 842-0499
Mailing address
201 SLATE AVE NW, ALBUQUERQUE, NM 87102
(505) 247-3463
(505) 842-0499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NM2530
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K1923
—
NM
Enumeration date
09/13/2007
Last updated
02/17/2014
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