The Vision Store

LBN: Advanced Optometric Concepts, Pc
The Vision Store is an health care organization with primary practice located at 140 E Hwy 550 Suite E, Bernalillo NM 87004-5943. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Advanced Optometric Concepts, Pc can be contacted via phone (505) 771-3937, or through Casaus, Deidra M via phone (505) 771-3937.

Contact Information

Primary practice address
140 E Hwy 550 Suite E Bernalillo NM 87004-5943
Phone: (505) 771-3937
Fax: (505) 771-1282
Website:
Map and Directions
Authorized official contact:
Name: Casaus, Deidra M Doctor of Optometry (OD)
Phone: (505) 771-3937

Health care specialties

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

Profile Details

NPI number 1578736054
LBN Legal business name Advanced Optometric Concepts, Pc
DBA Doing business as The Vision Store
Authorized official Casaus, Deidra M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2008
Last updated Apr 30th, 2010 - about 16 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 1578736054 NPPES
New Mexico MEDICAID 63225778
New Mexico MEDICAID P5028

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