CONTACT LENS GALLERY, INC.


Address: 6321 Riverside Plaza Ln Nw Ste B, Albuquerque, NM 87120-2641
Phone: 5058973937

CONTACT LENS GALLERY, INC. (NPI# 1740620327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740620327
Entity Type Organization
Organization Name CONTACT LENS GALLERY, INC.
Practice Address 6321 Riverside Plaza Ln Nw Ste B
Albuquerque
NM 87120-2641
Practice Telephone 5058973937
Practice Fax Number 5058991224
Mailing Telephone 5058973937
Mailing Fax Number 5058991224
Enumeration Date 2013-06-27
Last Update Date 2013-11-05
Authorized Official Name DR. JUDY ANN PEREA-MAES (PROPRIETOR)
Authorized Official Telephone 5058973937
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
FA0005635 NM Ambulatory Health Care Facilities

Office Location

Street Address 6321 RIVERSIDE PLAZA LN NW STE B
City ALBUQUERQUE
State NM
Zip Code 87120-2641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922566769 V.a.c, LLC Optometrist 6321 Riverside Plaza Ln Nw Ste B, Albuquerque, NM 87120-2641 2019-03-11

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NPI Name Taxonomy Address Enumeration
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1831753508 Jennifer Lydia Castro Nurse Practitioner 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 2019-04-27
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City ALBUQUERQUE
Zip Code 87120

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Dataset Information

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.

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