Organization
MODERN EYEZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A DAVIS OD (OWNER)
(505) 896-2010
Entity
Organization
Contact information
Practice address
1721 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1729
(505) 896-2010
(505) 896-2012
Mailing address
1721 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1729
(505) 896-2010
(505) 896-2012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
08/09/2023
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