Organization
VISUAL PERCEPTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA E BETHEL OD (OWNER)
(505) 331-5391
Entity
Organization
Contact information
Practice address
6600 MENAUL BLVD NE, SUITE M5A, ALBUQUERQUE, NM 87110-3428
(505) 884-8722
(505) 872-0405
Mailing address
6600 MENAUL BLVD NE, SUITE M5A, ALBUQUERQUE, NM 87110-3428
(505) 884-8722
(505) 872-0405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
576
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40030521
—
NM
Enumeration date
03/18/2010
Last updated
05/18/2011
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