Individual
JESSE EDDIE SOWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
571 WALTON BLVD, LAS CRUCES, NM 88001-8449
(505) 647-2020
(505) 524-2961
Mailing address
963 IVYDALE DR, LAS CRUCES, NM 88005-0928
(505) 202-3844
(505) 524-2961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
566
NM
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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