LINCOLN COUNTY EYE CENTER P C
NPI 1013121045
Optometrist - Corneal and Contact Management in Ruidoso, NM
- Organization
- Optometrist
- Corneal and Contact Management
- CLIA Number: 32D1039816
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 04-24-2027
About LINCOLN COUNTY EYE CENTER P C
This page provides the complete NPI Profile along with additional information for Lincoln County Eye Center P C, a provider established in Ruidoso, New Mexico operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1013121045 assigned on May 2007. The practitioner's primary taxonomy code is 152WC0802X with license number 251 (NM). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Bill G Mcdonald O.d. (President)
- NPI
- 1013121045 Verify this NPI
- Provider Name
- LINCOLN COUNTY EYE CENTER P C
- Entity Type
- Organization
- Location Address
- 207 SUDDERTH DR RUIDOSO, NM 88345
- Location Phone
- (505) 257-5512
- Location Fax
- (505) 257-2738
- Mailing Address
- 207 SUDDERTH DR RUIDOSO, NM 88345
- Mailing Phone
- (505) 257-5512
- Mailing Fax
- (505) 257-2738
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-09-2007
- Last Update Date
- 11-27-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Corneal and Contact Management
- Taxonomy Code
- 152WC0802X
- Type
- Eye and Vision Services Providers
- License No.
- 251
- License State
- NM
- Taxonomy Description
- The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| T74959 | MEDICARE UPIN (02) | NM |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D1039816
- Facility Type
- Ambulance
- Certificate Effective Date
- April 25, 2025
- Certificate Expiration Date
- April 24, 2027
- Laboratory Director
- JAMES S. STOVER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lincoln County Eye Center P C to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013121045, enumerated as an "organization" on May 09, 2007.
The provider is located at 207 SUDDERTH DR RUIDOSO, NM 88345 and the phone number is (505) 257-5512.
Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
