| Gallup Vision Source | |
|
124 W Coal Ave, Gallup, NM 87301-6206 | |
| (505) 722-2020 | |
| (505) 863-2204 |
| Full Name | Gallup Vision Source |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 124 W Coal Ave, Gallup, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912142241 | NPI | - | NPPES |
| NM00O520 | Other | NM | BLUE CROSS BLUE SHIELD NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gallup Vision Source 124 West Coal Ave, Gallup, NM 87301 Ph: (505) 722-2020 | Gallup Vision Source 124 W Coal Ave, Gallup, NM 87301-6206 Ph: (505) 722-2020 |
Tayde Analy Contreras, OD Optometrist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Farid Elie Khoury, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 S 2nd St Ste 5, Gallup, NM 87301 Phone: 505-979-0894 Fax: 505-726-2871 | |
Eye Associates Of New Mexico Optometrist Medicare: Not Enrolled in Medicare Practice Location: 311 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-2268 Fax: 505-863-2874 | |
Gallup Eye Group Llc Optometrist Medicare: Medicare Enrolled Practice Location: 816 Boardman Dr, Gallup, NM 87301 Phone: 505-339-2015 Fax: 505-492-0904 | |
Dr. Walter Ernest Balfour, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 219 W Coal Ave, Gallup, NM 87301 Phone: 505-863-6448 Fax: 505-722-6491 | |
Jesse Allen Hogan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1326 | |
Dr. Jacqueline Agnes Grimm, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |