Organization
SOUTH WEST EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL FRANCIS (OWNER)
(505) 722-2121
Entity
Organization
Contact information
Practice address
210 W COAL AVE, GALLUP, NM 87301-6306
(505) 722-2121
(505) 722-2537
Mailing address
210 W COAL AVE, GALLUP, NM 87301-6306
(505) 722-2121
(505) 722-2537
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0800001830
NM
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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