Organization
PHILIP TREU OD PC
Active
Other names
Santa Fe Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP EDWIN TREU O.D. (PRESIDENT)
(505) 983-4709
Entity
Organization
Contact information
Practice address
2008 SAINT MICHAELS DR, SUITE A, SANTA FE, NM 87505-7682
(505) 983-4709
(505) 954-0707
Mailing address
2008 SAINT MICHAELS DR, SUITE A, SANTA FE, NM 87505-7682
(505) 983-4709
(505) 954-0707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2622
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP2219
THERAPEUTIC OPTOMETRY LICENSE - NM
NM
01
—
OP2622
THERAPEUTIC OPTOMETRY LICENSE - NEW MEXICO
NM
Enumeration date
11/17/2010
Last updated
11/17/2010
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