Individual
DR. CAROL A. BOTTJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12220 STATE HIGHWAY 14 N, SUITE 3, CEDAR CREST, NM 87008-1640
(505) 286-0300
(505) 286-7754
Mailing address
PO BOX 1640, CEDAR CREST, NM 87008-1640
(505) 286-0300
(505) 286-7754
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1668DT
KY
152W00000X
Optometrist
Primary
661
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01259245
—
NM
Enumeration date
09/18/2007
Last updated
08/26/2024
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