Provider Demographics
NPI:1194709501
Name:THE EYE PLACE CORPORATION
Entity type:Organization
Organization Name:THE EYE PLACE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMGUIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-546-4115
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:DEMING
Mailing Address - State:NM
Mailing Address - Zip Code:88031-0031
Mailing Address - Country:US
Mailing Address - Phone:505-546-4115
Mailing Address - Fax:
Practice Address - Street 1:429 E OLIVE ST
Practice Address - Street 2:
Practice Address - City:DEMING
Practice Address - State:NM
Practice Address - Zip Code:88030-4747
Practice Address - Country:US
Practice Address - Phone:505-546-4115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty