Organization
EYE SITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRA DEON POWELL O.D. (DOCTOR)
(505) 748-1225
Entity
Organization
Contact information
Practice address
1002 W MAIN ST, ARTESIA, NM 88210-1868
(505) 748-1225
(505) 746-6454
Mailing address
1002 W MAIN ST, ARTESIA, NM 88210-1868
(505) 748-1225
(505) 746-6454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2574
NM
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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