Painter, Bobby G

Painter, Bobby G is an sole proprietor health care provider with primary practice located at 3280 N Butler Ave , Farmington NM 87401-2360. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Painter, Bobby G can be contacted via phone (505) 325-2015.

Contact Information

Primary practice address
3280 N Butler Ave Farmington NM 87401-2360
Fax: (505) 327-9877
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 297 New Mexico

Profile Details

NPI number 1528116217
LBN Legal business name Painter, Bobby G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Feb 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528116217 NPPES
New Mexico MEDICAID P2280

Popular Providers