Organization
SKYVIEW EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON D RUSSELL O.D. (PRESIDENT)
(505) 325-7070
Entity
Organization
Contact information
Practice address
3450 E MAIN ST, FARMINGTON, NM 87402-5327
(505) 325-7070
(505) 325-5812
Mailing address
3450 E MAIN ST, FARMINGTON, NM 87402-5327
(505) 325-7070
(505) 325-5812
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
529
NM
Other
Enumeration date
10/15/2007
Last updated
08/01/2013
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