Organization
ABQ EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMIE C CHAN OD (PRESIDENT)
(505) 821-8333
Entity
Organization
Contact information
Practice address
5341 WYOMING BLVD NE, STE D, ALBUQUERQUE, NM 87109-3164
(505) 821-8333
(505) 821-8335
Mailing address
5341 WYOMING BLVD NE, STE D, ALBUQUERQUE, NM 87109-3164
(505) 821-8333
(505) 821-8335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
512
NM
Other
Enumeration date
08/05/2012
Last updated
11/26/2012
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