Alamogordo Eye Clinic Inc
Organization Active NPI Ophthalmology Physician · Alamogordo, NM
NPI 1154346351 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1154346351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 72-27 (NM)
- Legal business name
- ALAMOGORDO EYE CLINIC INC
- Practice address
- 1124 10TH St
Alamogordo, NM 88310-6414 - Phone
- (575) 434-1200
- Fax
- (575) 437-3947
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald J Ham, MD
- Title
- President
- Phone
- (575) 434-1200
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | 72-27 | NM | Yes |
Addresses
Primary practice location
1124 10TH St
Alamogordo, NM 88310-6414
Mailing address
1124 10TH St
Alamogordo, NM 88310-6414
Phone (575) 434-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48470 | Medicaid | NM |
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All providers in Alamogordo, NM · Ophthalmology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. 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.