Organization
JANE COMPTON OD LLC
Active
Other names
Jane Compton OD
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE FERNANDEZ OD (OWNER)
(575) 758-2205
Entity
Organization
Contact information
Practice address
710 PASEO DEL PUEBLO SUR STE F, TAOS, NM 87571-6062
(575) 758-2205
(575) 751-7102
Mailing address
PO BOX 1867, TAOS, NM 87571-1867
(575) 758-2205
(575) 751-7102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P0771
—
NM
Enumeration date
06/23/2021
Last updated
07/26/2021
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