CLEAR CHOICE VISION CARE, LLC (NPI# 1497319693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497319693 |
| Entity Type | Organization |
| Organization Name | CLEAR CHOICE VISION CARE, LLC |
| Practice Address |
6600 Menaul Blve Ne Suite M5a Albuquerque NM 87110 |
| Mailing Address |
6020 Silver Leaf Trl Ne Albuquerque NM 87111-8095 |
| Practice Telephone | 8062822146 |
| Mailing Telephone | 8062822146 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-05-03 |
| Authorized Official Name | DR. RANDAL D JENTZEN (OPTOMETRIST/OWNER) |
| Authorized Official Telephone | 8062822146 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
6600 MENAUL BLVE NE SUITE M5A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| 1417472192 | Fnch Outpatient Services | Clinic/Center | 634 Manzano Street Ne, Albuquerque, NM 87110 | 2017-08-03 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380545 | Nina Gabrielle Ballew | Optometrist | 4411 The 25 Way Ne Ste 325, Albuquerque, NM 87109-5853 | 2020-06-15 |
| 1477178259 | Amanda C Lallensack | Optometrist | 4101 Indian School Rd Ne Ste 225, Albuquerque, NM 87110-4072 | 2020-06-08 |
| 1063042935 | Hero Vision of West Albuquerque | Optometrist | 4208 Central Ave Sw Ste G, Albuquerque, NM 87105-1695 | 2020-01-20 |
| 1992282206 | Jarrett Wayne Dotson | Optometrist | 7850 Jefferson St Ne Ste 160, Albuquerque, NM 87109-4314 | 2018-07-19 |
| 1386139715 | Vanessa Chavez | Optometrist | 6609 Mesa Antigua Pl Nw, Albuquerque, NM 87120-3318 | 2018-06-27 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1033587514 | Nicolette Estrada | Optometrist | 4905 San Timoteo Ave Nw, Albuquerque, NM 87114-3814 | 2015-09-14 |
| 1528443496 | Westside Eyecare | Optometrist | 5101 Coors Blvd N.w, Ste E, Albuquerque, NM 87120-1923 | 2015-07-21 |
| 1770981292 | Daniel & Max, LLC | Optometrist | 10701 Corrales Rd Nw, Suite 1b, Albuquerque, NM 87114-1087 | 2014-12-16 |
| 1013336080 | Daniel & Max, LLC | Optometrist | 2601 Louisiana Blvd Ne, Albuquerque, NM 87110-3603 | 2014-04-07 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.