Organization
RED MESA OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIC SHAWN FRANCIS (OWNER)
(505) 863-8030
Entity
Organization
Contact information
Practice address
210 W COAL AVE, GALLUP, NM 87301-6306
(505) 863-8030
Mailing address
210 W COAL AVE, GALLUP, NM 87301-6306
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
659070
—
NM
Enumeration date
05/09/2007
Last updated
08/22/2020
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