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Contact Information

CEDAR CREST VISION LLC
12220 NORTH HIGHWAY 14
SUITE 3
CEDAR CREST, NM87008
 Phone: 505-286-0300
 Fax: 505-281-4765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CEDAR CREST VISION LLC

NPI Number 1215019237
LBN Legal business name CEDAR CREST VISION LLC
Authorized official LISA QUICK - (BUSINESS MANAGER/CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 01/14/2026 - About 5 months ago
Identifiers
NM Medicaid 65109333
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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