Organization
SAB HOLDINGS LLC
Active
Other names
TRU VISION OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. URVASHI BHAKTA (OWNER)
(505) 870-3212
Entity
Organization
Contact information
Practice address
400 N SECOND ST, GALLUP, NM 87301-5227
(505) 565-7754
(505) 488-2687
Mailing address
400 N SECOND ST, GALLUP, NM 87301-5227
(505) 565-7754
(505) 488-2687
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
03-295268-006
NM
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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