| Organization Name: | T OR C EYE CLINIC |
| NPI Number: | 1700147964 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RYAN B ANDERSON (OWNER) |
| Mailing Address: | 518 N Date Street Truth Or Consequences |
| State: | NM US |
| Postal Code: | 879012346 |
| Phone Number: | 5758947811 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2012 |
| NPI Last Update Date: | 06/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |