| Dr Richard J Sidd, MD | |
|
207 N Union Ave Ste C, Roswell, NM 88201-3068 | |
| (575) 622-7295 | |
| (575) 622-7295 |
| Full Name | Dr Richard J Sidd |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 207 N Union Ave Ste C, Roswell, 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 |
|---|---|---|---|
| 1205998788 | NPI | - | NPPES |
| 00032805 | Medicaid | NM | |
| NM84260 | Other | NM LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 84260 (New Mexico) | Primary |
| Entity Name | Eye Associates Of New Mexico Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104868520 PECOS PAC ID: 4486643616 Enrollment ID: O20040511001422 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard J Sidd, MD 207 N Union, Suite C, Roswell, NM 88201-3068 Ph: (505) 622-7295 | Dr Richard J Sidd, MD 207 N Union Ave Ste C, Roswell, NM 88201-3068 Ph: (575) 622-7295 |
Dr. Paul F Engstrom, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 342 Sherrill Ln, Roswell, NM 88201 Phone: 575-625-0123 Fax: 575-625-0131 | |
Dr. Grace M Sally Mellgren, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 342 Sherrill Ln, Roswell, NM 88201 Phone: 575-625-0123 Fax: 575-625-0131 | |
Stephen W Montgomery, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 101 N Missouri Avenue, Roswell, NM 88203 Phone: 505-623-8420 |