Anasazi Eyecare Dba Visionwest
Organization Active NPI Optometrist · Los Alamos, NM
NPI 1376670992 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376670992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ANASAZI EYECARE DBA VISIONWEST
- Practice address
- 800 Trinity Dr Ste J
Los Alamos, NM 87544-4105 - Phone
- (505) 662-7000
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Wende W Waggoner
- Title
- Doctor
- Phone
- (505) 662-7000
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Anasazi Eyecare LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
800 Trinity Dr Ste J
Los Alamos, NM 87544-4105
Mailing address
800 Trinity Dr Ste J
Los Alamos, NM 87544-4105
Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.