| Clovis Vision Associates Pa | |
| 
					1217 Pile St, Clovis, NM 88101-5944  | |
| (575) 763-5522 | |
| (575) 763-4722 | 
| Full Name | Clovis Vision Associates Pa | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1217 Pile St, Clovis, 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 | 
|---|---|---|---|
| 1669466900 | NPI | - | NPPES | 
| NM00P428 | Other | NM | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 291 (New Mexico) | Primary | 
| Provider Name | Diane C Dewitt | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1265412639 PECOS PAC ID: 0143362608 Enrollment ID: I20100322000505  | 
| Provider Name | Thomas G Willmon | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1215917323 PECOS PAC ID: 4789726241 Enrollment ID: I20100322000531  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Clovis Vision Associates Pa Po Box 700, Clovis, NM 88102-0700 Ph: (575) 763-5522  | Clovis Vision Associates Pa 1217 Pile St, Clovis, NM 88101-5944 Ph: (575) 763-5522  | 
Dr. Thomas Gregory Willmon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1217 Pile St, Clovis, NM 88101 Phone: 575-763-5522 Fax: 575-763-4722  | |
Keith David Barker, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 621 E Llano Estacado Blvd, Clovis, NM 88101 Phone: 575-769-2339 Fax: 575-769-0672  | |
Diane C Dewitt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1217 Pile St, Clovis, NM 88101 Phone: 575-763-5522 Fax: 575-763-4722  | |
Eye Associates Of New Mexico, Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 21st St, Suite R-1, Clovis, NM 88101 Phone: 505-763-3445 Fax: 505-762-2690  | |
Vision Express, Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 E Manana Blvd, Clovis, NM 88101 Phone: 575-769-1010 Fax: 575-769-1010  | |
Dr. Joseph Thomas Pope, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 E Manana Blvd, Clovis, NM 88101 Phone: 575-769-1010 Fax: 575-769-1010  |