Organization
DRS. GUTOWSKI & SONNENMOSER
Active
Parent organization
DRS. GUTOWSKI & SONNENMOSER
Other names
Family Vision Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRS. GUTOWSKI & SONNENMOSER
Authorized official
DR. ANATOLE FRANK GUTOWSKI OD (OPTOMETRIC PHYSICIAN)
(575) 461-4233
Entity
Organization
Contact information
Practice address
301 E ROUTE 66 BLVD, TUCUMCARI, NM 88401-3296
(575) 461-4233
(575) 461-4233
Mailing address
301 E ROUTE 66 BLVD, TUCUMCARI, NM 88401-3296
(575) 461-4233
(575) 461-4233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
333
NM
152W00000X
Optometrist
337
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410032284
RAIL RAOD MEDICARE
NM
05
—
E8076
—
NM
05
—
E9156
—
NM
05
—
P0821
—
NM
Enumeration date
11/30/2006
Last updated
06/14/2012
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