Robert Ryan Fontenot, OD | |
160 S Camino Del Pueblo, Bernalillo, NM 87004-6173 | |
(505) 771-3937 | |
Not Available |
Full Name | Robert Ryan Fontenot |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 3 Years |
Location | 160 S Camino Del Pueblo, Bernalillo, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396324380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT733 (New Mexico) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Optometric Concepts Pc | 1153497540 | 2 |
Provider Name | Advanced Optometric Concepts Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578736054 PECOS PAC ID: 1153497540 Enrollment ID: O20080909000442 |
Mailing Address | Practice Location Address |
---|---|
Robert Ryan Fontenot, OD 9812 Sierra Morena St Nw, Albuquerque, NM 87114-1419 Ph: (713) 572-5128 | Robert Ryan Fontenot, OD 160 S Camino Del Pueblo, Bernalillo, NM 87004-6173 Ph: (505) 771-3937 |
Edwin H. Robison Iii, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 460 Hwy 528, Bernalillo, NM 87004 Phone: 505-771-4883 Fax: 505-771-4885 | |
The Vision Store Optometrist Medicare: Medicare Enrolled Practice Location: 140 E Hwy 550, Suite E, Bernalillo, NM 87004 Phone: 505-771-3937 Fax: 505-771-1282 | |
Dr. Deidra Marie Casaus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 160 S Camino Del Pueblo, Ste E, Bernalillo, NM 87004 Phone: 505-771-3937 Fax: 505-771-1282 |