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
Phone: (505) 891-0880
Fax: (505) 891-5415
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568550002 | NPPES |
| New Mexico | MEDICAID | 0000P0425 | |
| New Mexico | MEDICAID | 23200 |
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