| Ian T Kirste Od Pc | |
|
121 S Main Ave, Aztec, NM 87410-2120 | |
| (505) 333-7278 | |
| (505) 395-9287 |
| Full Name | Ian T Kirste Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 121 S Main Ave, Aztec, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356564736 | NPI | - | NPPES |
| E5476 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 424 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ian T Kirste Od Pc 4323 E Main St, Farmington, NM 87402-8621 Ph: (505) 326-7654 | Ian T Kirste Od Pc 121 S Main Ave, Aztec, NM 87410-2120 Ph: (505) 333-7278 |
Dallin Bassett Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 121 N Main Ave, Aztec, NM 87410 Phone: 505-333-7278 |
Dr. Ian Thorsten Kirste, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 121 S Main Ave, Aztec, NM 87410 Phone: 505-333-7278 Fax: 505-395-9287 |