NPI 1497319693 · live from the CMS NPI Registry
Clear Choice Vision Care, LLC
Optometrist in Albuquerque, NM. National Provider Identifier 1497319693, active.
NPI record
| NPI | 1497319693 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 |
| Practice phone | 806-282-2146 |
| Mailing address | 6020 Silver Leaf Trl Ne, Albuquerque, NM 87111 |
| Enumerated | April 24, 2019 |
| Last updated | May 3, 2019 |
| Authorized official | Randal Jentzen, Optometrist/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.