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TERRY T MARQUARDT NPI 1538343355


NPI Information

NPI: 1538343355
Provider Name: TERRY T MARQUARDT

Other Name: DR. TERRY T MARQUARDT

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
903 NEW YORK AVE
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 437-7783
Get Directions

TERRY T MARQUARDT is an eyewear supplier in Alamogordo, NM. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TERRY T MARQUARDT NPI is 1538343355. The provider is registered as an organization entity type.
The provider Other Name Is Dr. Terry T Marquardt.

The provider's business location address is:

903 NEW YORK AVE
ALAMOGORDO, NM
ZIP 88310-919
Phone: (575) 437-7783
Fax: (575) 439-0615

The provider's authorized official is Terry Tyrone Marquardt .
The authorized official title is Owner and has the following contact phone number (575) 437-7783.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 8/5/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier233NEW MEXICOYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10659340001MEDICARE NSCNEW MEXICO

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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