Organization
SOCORRO FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA COUNTY OD (OWNER)
(575) 835-3937
Entity
Organization
Contact information
Practice address
122 PLAZA ST, SOCORRO, NM 87801-4566
(575) 835-3937
Mailing address
CAMPUS STATION, BOX 2021, SOCORRO, NM 87801
(575) 418-8456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
692
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07671814
—
NM
Enumeration date
12/08/2017
Last updated
03/22/2019
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