Organization
CONTACT LENS GALLERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY ANN PEREA-MAES OD (PROPRIETOR)
(505) 897-3937
Entity
Organization
Contact information
Practice address
6321 RIVERSIDE PLAZA LN NW STE B, ALBUQUERQUE, NM 87120-2641
(505) 897-3937
(505) 899-1224
Mailing address
6321 RIVERSIDE PLAZA LN NW STE B, ALBUQUERQUE, NM 87120-2641
(505) 897-3937
(505) 899-1224
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
FA0005635
NM
Other
Enumeration date
06/27/2013
Last updated
11/05/2013
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