Vise, David Richard
Vise, David Richard is an individual health care provider with primary practice located at 3530 Zafarano Dr Suite C1, Santa Fe NM 87507-2617. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vise, David Richard can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP2411 | New Mexico |
Profile Details
| NPI number | 1528093622 |
|---|---|
| LBN Legal business name | Vise, David Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 13th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528093622 | NPPES |
| New Mexico | MEDICAID | J9146 |
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