Individual
DR. DAVID RICHARD VISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3530 ZAFARANO DR, SUITE C1, SANTA FE, NM 87507-2617
(505) 473-5100
(505) 473-5104
Mailing address
3530 ZAFARANO DR, SUITE C1, SANTA FE, NM 87507-2617
(505) 473-5100
(505) 473-5104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2411
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J9146
—
NM
Enumeration date
07/11/2006
Last updated
08/13/2013
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