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Contact Information

CLOVIS VISION ASSOCIATES PA
1217 PILE ST
CLOVIS, NM88101-5944
 Phone: 575-763-5522
 Fax: 575-763-4722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CLOVIS VISION ASSOCIATES PA

NPI # 1669466900
LBN Legal business name CLOVIS VISION ASSOCIATES PA
Authorized official THOMAS WILLMON - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2005
Last updated 03/28/2014 - About 12 years ago
Identifiers
NM License # 291
NM Other NM00P428 BCBS
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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