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301 E Route 66 Blvd, Tucumcari, NM 88401-3296 | |
| (575) 461-4233 | |
| (575) 461-4233 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 301 E Route 66 Blvd, Tucumcari, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881761088 | NPI | - | NPPES |
| 410032284 | Other | NM | RAIL RAOD MEDICARE |
| P0821 | Medicaid | NM | |
| E8076 | Medicaid | NM | |
| E9156 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 333 (New Mexico) | Primary |
| 152W00000X | Optometrist | 337 (New Mexico) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
301 E Route 66 Blvd, Tucumcari, NM 88401-3296 Ph: (575) 461-4233 | 301 E Route 66 Blvd, Tucumcari, NM 88401-3296 Ph: (575) 461-4233 |
J R Mccausland Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 S 2nd St, Tucumcari, NM 88401 Phone: 575-461-2431 Fax: 575-461-1246 |