| Dr Carol A Bottjer, OD | |
|
12220 State Highway 14 N, Suite 3, Cedar Crest, NM 87008-1640 | |
| (505) 286-0300 | |
| (505) 286-7754 |
| Full Name | Dr Carol A Bottjer |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 12220 State Highway 14 N, Cedar Crest, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335959 | NPI | - | NPPES |
| 01259245 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1668DT (Kentucky) | Secondary |
| 152W00000X | Optometrist | 661 (New Mexico) | Primary |
| Provider Name | Cedar Crest Vision Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215019237 PECOS PAC ID: 7810092251 Enrollment ID: O20070413000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carol A Bottjer, OD Po Box 1640, Cedar Crest, NM 87008-1640 Ph: (505) 286-0300 | Dr Carol A Bottjer, OD 12220 State Highway 14 N, Suite 3, Cedar Crest, NM 87008-1640 Ph: (505) 286-0300 |
Cedar Crest Vision Llc Optometrist Medicare: Medicare Enrolled Practice Location: 12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 Phone: 505-286-0300 Fax: 505-281-4765 | |
Robert H. Quick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12220 Hwy 14 N, Suite 3, Cedar Crest, NM 87008 Phone: 505-286-0300 Fax: 505-286-7754 |