Cedar Crest Vision Llc

LBN: Cedar Crest Vision Llc
Cedar Crest Vision Llc is an health care organization with primary practice located at 12220 North Highway 14 Suite 3, Cedar Crest NM 87008. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cedar Crest Vision Llc can be contacted via phone (505) 286-0300, or through Quick, Robert H. via phone (505) 286-0300.

Contact Information

Primary practice address
12220 North Highway 14 Suite 3 Cedar Crest NM 87008
Phone: (505) 286-0300
Fax: (505) 281-4765
Website:
Map and Directions
Authorized official contact:
Name: Quick, Robert H. Doctor of Optometry (OD)
Phone: (505) 286-0300

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1215019237
LBN Legal business name Cedar Crest Vision Llc
DBA Doing business as
Authorized official Quick, Robert H. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 28th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215019237 NPPES
New Mexico MEDICAID 65109333

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