| Dr Ralph W Lightle, OD | |
|
520 E Main St, Farmington, NM 87401-2712 | |
| (505) 325-2020 | |
| (505) 564-9152 |
| Full Name | Dr Ralph W Lightle |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 520 E Main St, Farmington, 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 |
|---|---|---|---|
| 1215053327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 324 (New Mexico) | Primary |
| Provider Name | Classic Eyewear, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447427638 PECOS PAC ID: 7113047564 Enrollment ID: O20131102000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ralph W Lightle, OD 520 E Main St, Farmington, NM 87401-2712 Ph: (505) 325-2020 | Dr Ralph W Lightle, OD 520 E Main St, Farmington, NM 87401-2712 Ph: (505) 325-2020 |
Bobby G Painter Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3280 N Butler Ave, Farmington, NM 87401 Phone: 505-325-2015 Fax: 505-327-9877 | |
Dr. Raymond P Herrera, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 W Broadway, Farmington, NM 87401 Phone: 505-326-2020 Fax: 505-327-5530 | |
Amanda Colburn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 W. Broadway, Farmington, NM 87401 Phone: 505-326-2020 | |
Quickvision Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Main St, Farmington, NM 87402 Phone: 505-326-1606 Fax: 505-326-2756 | |
Jared C Olson Od, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1711 E 20th St, Farmington, NM 87401 Phone: 505-326-4080 Fax: 505-326-4260 | |
Dr. Jared Craig Olson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1711 E 20th St, Farmington, NM 87401 Phone: 505-326-4080 Fax: 505-326-4260 |