| 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 | Optometry |
| Experience | 21 Years |
| Location | 12220 State Highway 14 N, Cedar Crest, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ultimate Eyecare Santa Fe Llc | 0840502993 | 3 |
| 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 |
| Provider Name | Ultimate Eyecare Santa Fe LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891182721 PECOS PAC ID: 0840502993 Enrollment ID: O20150702001841 |
| 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 |