Cedar Crest Vision Llc | |
12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 | |
(505) 286-0300 | |
(505) 281-4765 |
Full Name | Cedar Crest Vision Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 12220 North Highway 14, Cedar Crest, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215019237 | NPI | - | NPPES |
65109333 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Robert H Quick |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346213154 PECOS PAC ID: 6800799917 Enrollment ID: I20040130000516 |
Mailing Address | Practice Location Address |
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Cedar Crest Vision Llc Po Box 1640, Cedar Crest, NM 87008-1640 Ph: (505) 286-0300 | Cedar Crest Vision Llc 12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 Ph: (505) 286-0300 |
Dr. Carol A. Bottjer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12220 State Highway 14 N, Suite 3, Cedar Crest, NM 87008 Phone: 505-286-0300 Fax: 505-286-7754 | |
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 |