David Vise Od, Llc

LBN: David Vise Od, Llc
David Vise Od, Llc is an health care organization with primary practice located at 3530 Zafarano Dr Suite C1, Santa Fe NM 87507-2617. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. David Vise Od, Llc can be contacted via phone (505) 473-5100, or through Vise, David Richard via phone (505) 473-5100.

Contact Information

Primary practice address
3530 Zafarano Dr Suite C1 Santa Fe NM 87507-2617
Phone: (505) 473-5100
Fax: (505) 473-5104
Website:
Map and Directions
Authorized official contact:
Name: Vise, David Richard Doctor of Optometry (OD)
Phone: (505) 473-5100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 411 New Mexico

Profile Details

NPI number 1346685658
LBN Legal business name David Vise Od, Llc
DBA Doing business as
Authorized official Vise, David Richard Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2013
Last updated Aug 13th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346685658 NPPES
New Mexico MEDICAID J9416

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