Individual
CAROLINE ELIZABETH WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8380 CERRILLOS RD STE 300, SANTA FE, NM 87507-4418
(505) 375-8955
(505) 404-0795
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 246-2622
(505) 715-5334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003248
VA
152W00000X
Optometrist
OPT-2025-0015
NM
Other
Enumeration date
04/14/2023
Last updated
07/18/2025
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