Organization
BERNITSKY VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUI DONNELL (BUSINESS OFFICE MANAGER)
(505) 323-0800
Entity
Organization
Contact information
Practice address
6401 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2474
(505) 323-0800
(505) 323-6221
Mailing address
6401 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2474
(505) 323-0800
(505) 323-6221
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
88-122
NM
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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