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Organization

GILA OPTICAL, INC.

Active
Parent organization
GILA EYECARE, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
GILA EYECARE, INC.
Authorized official
MICHELLE S. MITTICA ABOC (OPTICIAN/MANAGER)
(575) 388-4464
Entity
Organization

Contact information

Practice address
604 W SPRING ST, SILVER CITY, NM 88061-4847
(575) 388-4464
(575) 388-2014
Mailing address
604 W SPRING ST, SILVER CITY, NM 88061-4847
(575) 388-4464
(575) 388-2014

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
03/11/2021
Last updated
03/11/2021
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