| Organization Name: | LINCOLN COUNTY EYE CENTER P C |
| NPI Number: | 1013121045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILL G MCDONALD (PRESIDENT) |
| Mailing Address: | 207 Sudderth Dr Ruidoso |
| State: | NM US |
| Postal Code: | 883456002 |
| Phone Number: | 5052575512 |
| Fax Number: | 5052572738 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |