Dr Ralph W Lightle, OD | |
520 E Main St, Farmington, NM 87401-2712 | |
(505) 325-2020 | |
(505) 564-9152 |
Full Name | Dr Ralph W Lightle |
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Gender | Male |
Speciality | Optometrist |
Location | 520 E Main St, Farmington, 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 |
---|---|---|---|
1215053327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 324 (New Mexico) | Primary |
Provider Name | Classic Eyewear, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447427638 PECOS PAC ID: 7113047564 Enrollment ID: O20131102000135 |
Mailing Address | Practice Location Address |
---|---|
Dr Ralph W Lightle, OD 520 E Main St, Farmington, NM 87401-2712 Ph: (505) 325-2020 | Dr Ralph W Lightle, OD 520 E Main St, Farmington, NM 87401-2712 Ph: (505) 325-2020 |
High Desert Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3280 N Butler Ave, Farmington, NM 87401 Phone: 505-325-2015 Fax: 505-327-9877 | |
National Vision, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Main St, Farmington, NM 87402 Phone: 505-326-0100 | |
Dr. Raymond P Herrera, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 W Broadway, Farmington, NM 87401 Phone: 505-326-2020 Fax: 505-327-5530 | |
Amanda Colburn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 W. Broadway, Farmington, NM 87401 Phone: 505-326-2020 | |
Quickvision Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Main St, Farmington, NM 87402 Phone: 505-326-1606 Fax: 505-326-2756 | |
Advanced Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1711 E 20th St, Farmington, NM 87401 Phone: 505-326-4080 Fax: 505-326-4260 |