Healthcare Provider Details

I. General information

NPI: 1477653517
Provider Name (Legal Business Name): SILVER CITY OPHTHALMOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 10/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 E 32ND ST
SILVER CITY NM
88061-7229
US

IV. Provider business mailing address

1210 EAST 32ND ST
SILVER CITY NM
88061
US

V. Phone/Fax

Practice location:
  • Phone: 505-538-3721
  • Fax: 505-538-2207
Mailing address:
  • Phone: 505-538-3721
  • Fax: 505-538-2207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NEAL L APPLE
Title or Position: OWNER
Credential: MD
Phone: 505-538-3721