Healthcare Provider Details

I. General information

NPI: 1316129349
Provider Name (Legal Business Name): DR. S DAVID BABINGTON LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 MONTGOMERY BLVD NE E-6
ALBUQUERQUE NM
87109-1521
US

IV. Provider business mailing address

7520 MONTGOMERY BLVD NE E-6
ALBUQUERQUE NM
87109-1521
US

V. Phone/Fax

Practice location:
  • Phone: 505-883-1208
  • Fax: 505-883-1210
Mailing address:
  • Phone: 505-883-1208
  • Fax: 505-883-1210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID BABINGTON
Title or Position: OWNER
Credential: O.D.
Phone: 505-883-1208