Organization
MICHAEL D. HERRERA, O.D., P.C.
Active
Other names
Dr. Michael D. Herrera
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE M HERRERA (BUSINESS MANAGER)
(505) 428-0809
Entity
Organization
Contact information
Practice address
3811 CERRILLOS RD STE 103, SANTA FE, NM 87507-4112
(505) 989-9600
(505) 438-5014
Mailing address
4 RUSTY SPUR PL, SANTA FE, NM 87508-1350
(505) 429-0809
(505) 438-8100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P6026
—
NM
Enumeration date
03/14/2018
Last updated
03/14/2018
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