IndividualActive
David Gutowski, OD
NPI 1669025425 · Optometrist · Ruidoso, NM
Provider details
- NPI number
- 1669025425
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OPT.0003525 (CO)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
159 Mescalero Trl Ste 1
Ruidoso, NM 88345-6089
Phone: (575) 257-5029
Fax: (575) 257-9096
Approximate (ZIP-level) locationGet directions
Mailing address
159 Mescalero Trl Ste 1
Ruidoso, NM 88345-6089
Registry dates
- Enumerated
- 2019-07-22
- Last updated
- 2020-11-20
- Certified
- 2020-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.