Kathryn Branch Casey
Individual provider Active NPI Optician · Socorro, NM
NPI 1144534892 · NPPES record last updated Aug 4, 2010
Key facts
- NPI
- 1144534892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- 1101 State Road 1
Socorro, NM 87801-5004 - Phone
- (575) 835-2234
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Yes |
Addresses
Primary practice location
1101 State Road 1
Socorro, NM 87801-5004
Mailing address
1101 State Rd 1 SW
Socorro, NM 87801
Phone (575) 835-2234
Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.