Organization
ULTIMATE EYECARE SANTA FE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A RASMUSSEN OD (OWNER)
(505) 983-7746
Entity
Organization
Contact information
Practice address
1651 GALISTEO ST, SANTA FE, NM 87505-4752
(505) 983-7746
(505) 983-6846
Mailing address
PO BOX 6177, SANTA FE, NM 87502-6177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
371
NM
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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