New Mexico Eye Clinic Ll

LBN: New Mexico Eye Clinic Ll
New Mexico Eye Clinic Ll is an health care organization with primary practice located at 1316 Jackie Rd Se Ste 850 , Rio Rancho NM 87124-6606. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist. Eye and Vision Services Providers / Optometrist is the primary health care specialty. New Mexico Eye Clinic Ll can be contacted via phone (505) 891-0880, or through Rodgers, Donald E via phone (505) 891-0880.

Contact Information

Primary practice address
1316 Jackie Rd Se Ste 850 Rio Rancho NM 87124-6606
Fax: (505) 891-5415
Website:
Authorized official contact:
Name: Rodgers, Donald E

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 258 New Mexico
Other Service Providers / Specialist 174400000X 76-254 New Mexico

Profile Details

NPI number 1568550002
LBN Legal business name New Mexico Eye Clinic Ll
DBA Doing business as
Authorized official Rodgers, Donald E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568550002 NPPES
New Mexico MEDICAID 0000P0425
New Mexico MEDICAID 23200

Popular Providers