Rocky Mountain Eye Center Inc A Colorado Provider Network | |
1801 Hospital Dr, Raton, NM 87740-2032 | |
(575) 445-2789 | |
(575) 445-2780 |
Full Name | Rocky Mountain Eye Center Inc A Colorado Provider Network |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1801 Hospital Dr, Raton, 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 |
---|---|---|---|
1750411062 | NPI | - | NPPES |
200521004 | Other | NM | MEDICARE |
NM007E27 | Other | NM | BCBS NEW MEXICO GROUP # |
85707368 | Other | NM | NEW MEXICO MEDICAID |
CK7367 | Other | NM | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | James A. Eickelman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851341267 PECOS PAC ID: 8123142981 Enrollment ID: I20100831000346 |
Provider Name | Paul D Rastrelli |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366492480 PECOS PAC ID: 5092758037 Enrollment ID: I20100903000521 |
Provider Name | Nicholas Chariton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427407287 PECOS PAC ID: 7214223056 Enrollment ID: I20161207000505 |
Provider Name | Scott A Butikofer |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1184067308 PECOS PAC ID: 3274834916 Enrollment ID: I20210908000221 |
Provider Name | Matthew Newbold |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083283642 PECOS PAC ID: 3274936679 Enrollment ID: I20220919002441 |
Mailing Address | Practice Location Address |
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Rocky Mountain Eye Center Inc A Colorado Provider Network 27 Montebello Rd, Pueblo, CO 81001-1236 Ph: (719) 545-1530 | Rocky Mountain Eye Center Inc A Colorado Provider Network 1801 Hospital Dr, Raton, NM 87740-2032 Ph: (575) 445-2789 |