NPI 1215019237 · live from the CMS NPI Registry
Cedar Crest Vision LLC
Optometrist in Cedar Crest, NM. National Provider Identifier 1215019237, active.
NPI record
| NPI | 1215019237 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 |
| Practice phone | 505-286-0300 |
| Mailing address | Po Box 1640, Cedar Crest, NM 87008 |
| Enumerated | October 19, 2006 |
| Last updated | January 14, 2026 |
| Authorized official | Lisa Quick, Business Manager/Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.