PECOS VALLEY EYE SURGERY CENTER, LLC (NPI# 1437660040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437660040 |
| Entity Type | Organization |
| Organization Name | PECOS VALLEY EYE SURGERY CENTER, LLC |
| Practice Address |
1610 Se Main Street Roswell NM 88203 |
| Mailing Address |
8801 Horizon Blvd Ne Ste 360 Albuquerque NM 87113-1563 |
| Practice Telephone | 5057681333 |
| Practice Fax Number | 5052449566 |
| Mailing Telephone | 5057681333 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MS. DAWN K GERENCER (DIRECTOR OF AMBULATORY SURGICAL SER) |
| Authorized Official Telephone | 5057681333 |
| Authorized Official Credential | RN, BSN, CNOR, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PECOS VALLEY EYE SURGERY CENTER, LLC | 1610 Se Main St, Roswell, NM 88203-5404 |
| Street Address |
1610 SE MAIN STREET |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| 1598874794 | Alto Medical Services, PC | Emergency Medicine | 2110 S Main Street, Roswell, NM 88203 | 2006-08-30 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770998668 | The Lasik Vision Institute LLC | Clinic/Center | 7850 Jefferson Street Ne, Suite 160, Albuquerque, NM 87109 | 2014-06-30 |
| 1700147964 | T Or C Eye Clinic | Clinic/Center | 518 N Date Street, Truth Or Consequences, NM 87901-2346 | 2012-06-05 |
| 1194970418 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 8220 San Pedro Ne, Suite 220, Albuquerque, NM 87113 | 2008-12-01 |
| 1932118734 | Eye Care Surgery | Clinic/Center | 105 N Coronado Ave, Espanola, NM 87532-2741 | 2006-08-08 |
| 1154934586 | The Juliette Eye Surgery Center | Clinic/Center | 6401 Holly Ave Ne, Albuquerque, NM 87113-2474 | 2020-08-25 |
| 1013463934 | The Cataract Vision Institute LLC | Clinic/Center | 7850 Jefferson St Ne, Suite 160, Albuquerque, NM 87109-4315 | 2016-08-31 |
| 1922343888 | Bernitsky Vision PC | Clinic/Center | 6401 Holly Ave Ne, Albuquerque, NM 87113-2474 | 2012-12-04 |
| 1497024624 | Advanced Eye Care LLC | Clinic/Center | 2030 S Solano Dr, Las Cruces, NM 88001-5402 | 2011-12-16 |
| 1265586598 | Columbus Eye Associates, Inc | Clinic/Center | 6500 Jefferson St Ne, Ste 150, Albuquerque, NM 87109-3489 | 2007-01-23 |
Please comment or provide details below to improve the information on PECOS VALLEY EYE SURGERY CENTER, LLC.
| 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.