Cedar Crest Vision LLC
NPI 1215019237ActiveOrganization· Optometrist· Cedar Crest, NM
Optometrist in Cedar Crest, New Mexico, registered in NPPES in October 2006. The authorized official on file is Lisa Quick, MBA, ABOC, Business Manager/Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215019237 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Jan 14, 2026 |
| Certified by provider | Jan 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
Other Optometrist providers in Cedar Crest
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- 1346213154