NPI 1669833166 · live from the CMS NPI Registry
Casey Optical Too
Optometrist in Albuquerque, NM. National Provider Identifier 1669833166, active.
NPI record
| NPI | 1669833166 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 9000 Menaul Blvd Ne, Albuquerque, NM 87112 |
| Practice phone | 505-219-3113 |
| Enumerated | March 10, 2016 |
| Last updated | August 30, 2022 |
| Authorized official | Kimberly Broderick, Managing Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — |
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.