Healthcare Provider Details
I. General information
NPI: 1851238505
Provider Name (Legal Business Name): FEC FAMILY VISION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1315 W JOE HARVEY BLVD
HOBBS NM
88240-0997
US
IV. Provider business mailing address
1124 10TH ST
ALAMOGORDO NM
88310-6414
US
V. Phone/Fax
- Phone: 575-392-8880
- Fax:
- Phone: 575-434-1200
- Fax: 575-437-3947
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PARLEY
FILLMORE
Title or Position: PRESIDENT
Credential: MD
Phone: 575-434-1200