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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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