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Organization

ACOMA OPTICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN BODDY OPTICIAN (PRESIDENT OWNER)
15059885321
Entity
Organization

Contact information

Practice address
1521 5TH ST, SANTA FE, NM 87505-3427
(150) 598-8532
(150) 599-5133
Mailing address
1521 5TH ST, SANTA FE, NM 87505-3427
(150) 598-8532
(150) 599-5133

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/26/2006
Last updated
08/22/2020
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