OrganizationActive
Anasazi Eyecare LLC
NPI 1902081458 · Optometrist · Los Alamos, NM
Provider details
- NPI number
- 1902081458
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- Wpec , Inc.
- Organization subpart
- Yes
- Authorized official
- Wende Waggoner, President(505) 662-7000
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
800 Trinity Dr Ste J
Los Alamos, NM 87544-4105
Phone: (505) 662-7000
Fax: (505) 662-2949
Approximate (ZIP-level) locationGet directions
Mailing address
800 Trinity Dr Ste J
Los Alamos, NM 87544-4105
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2008-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.