Dr Robert L Dorazio, OD is a
Eyewear Supplier based in Gallup, New Mexico. Dr Robert L Dorazio is licensed to practice in New Mexico (license number 2328) and his current practice location is
225 Nizhoni Blvd, Gallup, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 863-5747.
NPI number for Dr Robert L Dorazio is 1700994944 and his current mailing address is 225 Nizhoni Blvd, Gallup, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700994944.
Healthcare Provider's Profile
| Full Name | Dr Robert L Dorazio |
|---|
| Gender | Male |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 225 Nizhoni Blvd, Gallup, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700994944
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Robert L Dorazio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700994944 | NPI | - | NPPES |
| P0987 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2328 (New Mexico) | Primary |
| 332H00000X | Eyewear Supplier | 2328 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert L Dorazio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert L Dorazio, OD
225 Nizhoni Blvd,
Gallup, NM 87301
Ph: (505) 863-5747 | Dr Robert L Dorazio, OD
225 Nizhoni Blvd,
Gallup, NM 87301
Ph: (505) 863-5747 |
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