| Shaista Vally, | |
|
3450 E Main St, Farmington, NM 87402-5327 | |
| (505) 325-7070 | |
| (505) 325-5812 |
| Full Name | Shaista Vally |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 11 Years |
| Location | 3450 E Main St, Farmington, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619343712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1997DT (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Depaul Services | 6204727498 | 4 |
| Provider Name | Ascension Depaul Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952459901 PECOS PAC ID: 6204727498 Enrollment ID: O20040324001672 |
| Provider Name | Vision Optique Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134152408 PECOS PAC ID: 4789670704 Enrollment ID: O20040423000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaista Vally, 740 South Limestone, E300 Kentucky Clinic, Lexington, KY 40536 Ph: () - | Shaista Vally, 3450 E Main St, Farmington, NM 87402-5327 Ph: (505) 325-7070 |
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 | |
National Vision, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Main St, Farmington, NM 87402 Phone: 505-326-0100 | |
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 | |
Dr. Ralph W Lightle, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 520 E Main St, Farmington, NM 87401 Phone: 505-325-2020 Fax: 505-564-9152 | |
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 |