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Contact Information

ULTRAVISION, LLC
2127 MENAUL BLVD NE
ALBUQUERQUE, NM87107-1714
 Phone: 505-884-2020
 Fax: 505-880-0029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
Indicates primary specialty

NPI Profile & details for ULTRAVISION, LLC

NPI Number 1093954604
LBN Legal business name ULTRAVISION, LLC
Authorized official ARLENE SOKOLA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2009
Last updated 02/05/2009 - About 17 years ago
Identifiers
NM Other 00NM00P119 BLUE CROSS BLUE SHIELD PROVIDER ID
NM Other 4451462 CIGNA PROVIDER ID
NM Other 672938 UNITED HEALTH CARE PROVIDER ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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