Organization
ANASAZI EYECARE LLC
Active
Parent organization
WPEC , INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WPEC , INC.
Authorized official
DR. WENDE WAGGONER (PRESIDENT)
(505) 662-7000
Entity
Organization
Contact information
Practice address
800 TRINITY DR STE J, LOS ALAMOS, NM 87544-4105
(505) 662-7000
(505) 662-2949
Mailing address
800 TRINITY DR STE J, LOS ALAMOS, NM 87544-4105
(505) 662-7000
(505) 662-2949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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