Individual
COLE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2553
Mailing address
933 BRADBURY DR SE # 222, ALBUQUERQUE, NM 87106-4374
(505) 272-2553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3200
OK
152W00000X
Optometrist
OPT-2023-0012
NM
Other
Enumeration date
06/29/2022
Last updated
03/11/2024
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