Individual
SHINICHI SEAN HAMASHIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9 CALLE MEDICO, SANTA FE, NM 87505-4724
(505) 983-2592
Mailing address
9 CALLE MEDICO, SANTA FE, NM 87505-4724
(505) 983-2592
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2385
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P0076
—
NM
Enumeration date
08/05/2007
Last updated
10/25/2012
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