Cedar Crest Vision Llc is a medicare enrolled "Optometrist" provider in Cedar Crest, New Mexico. Their current practice location is
12220 North Highway 14, Suite 3, Cedar Crest, New Mexico. You can reach out to their office (for appointments etc.) via phone at
(505) 286-0300.
Cedar Crest Vision Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Cedar Crest Vision Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215019237.
Healthcare Provider's Profile
Full Name | Cedar Crest Vision Llc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 12220 North Highway 14, Cedar Crest, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215019237
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 12/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 7810092251
- Enrollment ID: O20070413000380
Medical Identifiers
Medical identifiers for Cedar Crest Vision Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215019237 | NPI | - | NPPES |
65109333 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Cedar Crest Vision Llc acts as a billing entity for following providers:
Provider Name | Robert H Quick |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1346213154 PECOS PAC ID: 6800799917 Enrollment ID: I20040130000516 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cedar Crest Vision Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
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 |
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