New Mexico Eye Clinic Ll

NPI 1568550002

Information of New Mexico Eye Clinic Ll

The NPI 1568550002 is an Organization type. NPI No 1568550002 belongs to New Mexico Eye Clinic Ll. New Mexico Eye Clinic Ll specializes in Optometrist. is practising at 1316 Jackie Rd Se Ste 850, Rio Rancho, New Mexico 87124. You can also contact him via phone number (505) 891-0880.

Practice address located

  • 1316 Jackie Rd Se Ste 850
  • Rio Rancho, New Mexico 87124
  • (505) 891-0880
  • (505) 891-0880

Mailling address located

  • 1316 Jackie Rd Se Ste 850
  • Rio Rancho, New Mexico 87124
  • (505) 891-0880
  • (505) 891-5415
New Mexico Eye Clinic Ll is PECOS enrolled.
NPI No 1568550002
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
n/a152W00000XOptometrist258New Mexico
n/a174400000XSpecialist76-254New Mexico
Identifier for this provider
StateIdentifierTypeIssuer
NM0000P0425Medicaidn/a
NM2124090Medicare ID-Type Unspecifiedn/a
NM23200Medicaidn/a
NM2591005PMedicare ID-Type Unspecifiedn/a
NMD35917Medicare UPINn/a
NMT74963Medicare UPINn/a
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