Individual
DR. RODGER V LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
709 N MAIN ST, LAS CRUCES, NM 88001-1119
(575) 524-4351
(575) 524-8159
Mailing address
PO BOX 340, LAS CRUCES, NM 88004-0340
(575) 524-4351
(575) 524-8159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0232
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35044
DAVIS
NM
01
—
NM0232
EYEMED
NM
05
—
PO862
—
NM
Enumeration date
11/22/2005
Last updated
01/14/2010
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