FILLMORE EYE CLINIC INC ASC NPI 1356660252

NPI Information

NPI: 1356660252
Provider Name: FILLMORE EYE CLINIC INC, ASC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 32D2043593

Address:
1124 10TH ST
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 434-1200
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FILLMORE EYE CLINIC INC, ASC is an ambulatory surgical clinic center in Alamogordo, NM. FILLMORE EYE CLINIC INC, ASC NPI is 1356660252. The provider is registered as an organization entity type.

The provider's business location address is:

1124 10TH ST
ALAMOGORDO, NM
ZIP 88310-414
Phone: (575) 434-1200
Fax: (575) 437-3947

The provider's authorized official is Parley D Fillmore .
The authorized official title is President and has the following contact phone number (575) 434-1200.

The CLIA number assigned to this NPI record is 32D2043593 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 5/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	6134	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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