Individual
AMIR JAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2947 RODEO PARK DR E, SANTA FE, NM 87505-6303
(505) 983-6613
(505) 986-9984
Mailing address
8801 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1563
(505) 828-4923
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
532
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G5964
—
NM
01
—
NM00P892
BC BS OF NM
NM
Enumeration date
10/24/2005
Last updated
04/20/2008
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