Organization
EYE DEAL VISION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELLISA R FLOWERS (OFFICE MANAGER)
(505) 565-3937
Entity
Organization
Contact information
Practice address
511A HIGHWAY 314 SW, LOS LUNAS, NM 87031-9600
(505) 565-3937
(505) 565-3900
Mailing address
511A HIGHWAY 314 SW, LOS LUNAS, NM 87031-9600
(505) 565-3937
(505) 565-3900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1551
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17973864
—
NM
Enumeration date
04/04/2007
Last updated
12/13/2011
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