Organization
ALVERNON OPTICAL, INC.
Active
Other names
Silver City Optical, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA A DECKER LDO (VP OF RETAIL)
(520) 327-6215
Entity
Organization
Contact information
Practice address
1212 E 32ND ST, SILVER CITY, NM 88061-7229
(505) 538-2770
(520) 538-9611
Mailing address
1212 E 32ND ST, SILVER CITY, NM 88061-7229
(505) 538-2770
(520) 538-9611
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P9497
—
NM
Enumeration date
03/23/2007
Last updated
08/22/2020
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