Dean H Hattan, OD | |
80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 | |
(505) 552-5300 | |
(505) 552-5811 |
Full Name | Dean H Hattan |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 80 B Veterans Blvd, Acoma, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174592877 | NPI | - | NPPES |
H3450 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 001231 (Washington) | Secondary |
152W00000X | Optometrist | 2106 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dean H Hattan, OD Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Dean H Hattan, OD 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Ph: (505) 552-5300 |
Philip E Stein, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Rodney N Gilliland, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 |