Organization
FILLMORE EYE CLINIC INCORPORATED
Active
Other names
Fillmore Eye Clinic ASC
Organization subpart
No
Provider details
NPI number
Authorized official
PARLEY D FILLMORE MD (PRESIDENT)
(575) 434-1200
Entity
Organization
Contact information
Practice address
1124 10TH ST, ALAMOGORDO, NM 88310
(575) 434-1200
(575) 437-3947
Mailing address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 434-1200
(575) 437-3947
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3343
NM
261QA1903X
Ambulatory Surgical Clinic/Center
6134
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15215
PRESBYTERIAN
NM
05
—
40071
—
NM
01
—
850273244-001
TRICARE
NM
01
—
SS06
BLUE CROSS/BLUE SHEILD
NM
Enumeration date
05/31/2005
Last updated
07/23/2025
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