Organization
PINON HILLS OPTICAL INC
Active
Other names
New Mexico Eye Clinic Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA VAUGHAN (OFFICE MANAGER)
(505) 325-5021
Entity
Organization
Contact information
Practice address
2300 E 30TH ST, STE 105, FARMINGTON, NM 87401-8990
(505) 325-4298
(505) 326-4690
Mailing address
2300 E 30TH ST, STE 105, FARMINGTON, NM 87401-8990
(505) 325-4298
(505) 326-4690
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
05/28/2008
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