Provider Demographics
NPI:1598371833
Name:VETETO VISION CENTER, LLC
Entity Type:Organization
Organization Name:VETETO VISION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VETETO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:575-437-7783
Mailing Address - Street 1:903 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6919
Mailing Address - Country:US
Mailing Address - Phone:575-437-7783
Mailing Address - Fax:
Practice Address - Street 1:903 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6919
Practice Address - Country:US
Practice Address - Phone:575-437-7783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty