Organization
ANASAZI EYE CARE LLC
Active
Other names
Visionwest
Organization subpart
No
Provider details
NPI number
Authorized official
WENDE WAGGONER OD (OWNER 100 SHAREHOLDER LLC)
(505) 662-7000
Entity
Organization
Contact information
Practice address
800 TRINITY DR, SUITE J, LOS ALAMOS, NM 87544
(505) 662-7000
(505) 662-2949
Mailing address
800 TRINITY DR, SUITE J, LOS ALAMOS, NM 87544
(505) 662-7000
(505) 662-7000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NM547
NM
Other
Enumeration date
10/10/2006
Last updated
07/21/2022
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