CEDAR CREST VISION LLC
NPI 1215019237
Optometrist in Cedar Crest, NM
About Cedar Crest Vision Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CEDAR CREST VISION LLC (NPI 1215019237) is a healthcare organization registered as an optometrist in Cedar Crest, New Mexico and active in the NPI registry since October 2006. The organization lists Lisa Quick, Business Manager/co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cedar Crest Vision Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Cedar Crest Vision LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Cedar Crest, NM 87008
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cedar Crest Vision LLC's NPI number?
The NPI number for Cedar Crest Vision LLC is 1215019237. It was assigned to this organization in the NPPES registry on October 19, 2006.
Where is Cedar Crest Vision LLC located?
Cedar Crest Vision LLC is located at 12220 North Highway 14 Suite 3, Cedar Crest, NM 87008. The listed phone number is (505) 286-0300.
What is Cedar Crest Vision LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Cedar Crest Vision LLC enrolled in Medicare?
Yes. Cedar Crest Vision LLC is registered in the Medicare PECOS enrollment system.
When is Cedar Crest Vision LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Cedar Crest Vision LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Cedar Crest Vision LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cedar Crest Vision LLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 3 other insurers list Cedar Crest Vision LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cedar Crest Vision LLC was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cedar Crest Vision Llc · NPI 1215019237
Optometrist organization in Cedar Crest, New Mexico. Organization record, active in the CMS NPPES registry since October 19, 2006.
## Identity
- **NPI:** 1215019237 (Entity type: Organization)
- **Enumerated:** October 19, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Lisa Quick, BUSINESS MANAGER/CO-OWNER
## Practice location
- **Address:** 12220 NORTH HIGHWAY 14, SUITE 3, Cedar Crest, NM 87008
- **Phone:** (505) 286-0300 · **Fax:** (505) 281-4765
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2026
- **Other identifiers:** Medicaid 65109333 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1215019237) · Data from the CMS NPPES public registry.