Organization
CITY OF VISION EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN S. REYNOLDS O.D. (CO-OWNER)
(505) 892-8411
Entity
Organization
Contact information
Practice address
4025 JACKIE RD SE, RIO RANCHO, NM 87124-6610
(505) 892-8411
(505) 891-5497
Mailing address
4025 JACKIE RD SE, RIO RANCHO, NM 87124-6610
(505) 892-8411
(505) 891-5497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2264
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152W00000X
—
NM
05
—
193400000X
—
NM
01
—
NM2264
EYE MED
NM
Enumeration date
10/25/2006
Last updated
06/21/2018
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