MEDICARE: SILVER CITY OPHTHALMOLOGY ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689657694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER CITY OPHTHALMOLOGY ASSOCIATES PC

Provider Business Mailing Address
First Line	:	1210 E 32ND ST
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-7229
Country	:	US
Telephone Number	:	505-538-3721
Fax Number	:	505-538-2207

Provider Business Practice Location Address
First Line	:	1210 E 32ND ST
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-7229
Country	:	US
Telephone Number	:	505-538-3721
Fax Number	:	505-538-2207

Authorized Official
Title or Position	:	SHAREHOLDER/OWNER
Name	:	DR. NEAL LOUIS APPLE
Credential	:	M.D.
Telephone Number	:	505-538-3721

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	08/22/2020

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Directions to “SILVER CITY OPHTHALMOLOGY ASSOCIATES PC ” Practice Location

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