Organization
J R MCCAUSLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R MCCAUSLAND O.D. (OWNER)
(575) 461-2431
Entity
Organization
Contact information
Practice address
415 S 2ND ST, TUCUMCARI, NM 88401-2859
(575) 461-2431
(575) 461-1246
Mailing address
415 S 2ND ST, TUCUMCARI, NM 88401-2859
(575) 461-2431
(575) 461-1246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
128
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P3957
—
NM
Enumeration date
11/13/2007
Last updated
10/20/2009
Update your record
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