Organization
ADVANCED EYE CARE LLC
Active
Organization
ADVANCED EYE CARE LLC
Active
Other names
Southwest Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY MICHEL KHOURY M.D. (PRESIDENT)
(702) 738-9792
Entity
Organization
Contact information
Practice address
2030 S SOLANO DR, LAS CRUCES, NM 88001-5402
(575) 521-1158
Mailing address
2030 S SOLANO DR, LAS CRUCES, NM 88001-5402
(575) 521-1158
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
MD2011-0709
NM
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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