FILLMORE EYE CLINIC INCORPORATED NPI 1487657862

NPI Information

FILLMORE EYE CLINIC INCORPORATED is an ambulatory surgical clinic center in Alamogordo, NM. FILLMORE EYE CLINIC INCORPORATED NPI is 1487657862. The provider is registered as an organization entity type.
The provider Other Name Is Fillmore Eye Clinic Asc.

The provider's business location address is:

1124 10TH ST
ALAMOGORDO, NM
ZIP 88310
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 32D2110185 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 8/28/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.