| Dallin Bassett Od Llc | |
|
121 N Main Ave, Aztec, NM 87410-1923 | |
| (505) 333-7278 | |
| Not Available |
| Full Name | Dallin Bassett Od Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 121 N Main Ave, Aztec, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548092430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dallin Bassett Od Llc 4916 Kingsway Dr, Farmington, NM 87402-4861 Ph: (832) 613-1096 | Dallin Bassett Od Llc 121 N Main Ave, Aztec, NM 87410-1923 Ph: (505) 333-7278 |
Ian T Kirste Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 121 S Main Ave, Aztec, NM 87410 Phone: 505-333-7278 Fax: 505-395-9287 | |
Dr. Ian Thorsten Kirste, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 121 S Main Ave, Aztec, NM 87410 Phone: 505-333-7278 Fax: 505-395-9287 |