Healthcare Provider Details

I. General information

NPI: 1669969945
Provider Name (Legal Business Name): QUALITY EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2018
Last Update Date: 04/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 N GRIMES ST
HOBBS NM
88240-1219
US

IV. Provider business mailing address

4918 N BREANNA ST
HOBBS NM
88242-9811
US

V. Phone/Fax

Practice location:
  • Phone: 575-392-0120
  • Fax: 575-392-0160
Mailing address:
  • Phone: 806-470-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL JOHN GOOD
Title or Position: MEMBER/OPHTHALMOLOGIST
Credential: MD
Phone: 806-470-5400