Organization
SOUTHWEST VISION SPECIALISTS, P.A.
Active
Other names
Shelley Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT EDWARD SHELLEY OD (CEO/PRESIDENT)
(505) 526-5367
Entity
Organization
Contact information
Practice address
1680 CALLE DE ALVAREZ, LAS CRUCES, NM 88005
(505) 526-5367
(505) 526-5057
Mailing address
PO BOX 130, MESILLA PARK, NM 88047-0130
(505) 526-5367
(505) 526-5057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2549
NM
Other
Enumeration date
10/14/2006
Last updated
08/22/2020
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