Cedar Crest Vision LLC
Organization Active NPI Optometrist · Cedar Crest, NM
NPI 1215019237 · NPPES record last updated Jan 14, 2026
Key facts
- NPI
- 1215019237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CEDAR CREST VISION LLC
- Practice address
- 12220 North Highway 14
Suite 3
Cedar Crest, NM 87008 - Phone
- (505) 286-0300
- Fax
- (505) 281-4765
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Lisa Quick, MBA, ABOC
- Title
- Business Manager/Co-Owner
- Phone
- (505) 980-8972
Practitioners 6
-
Robert H. Quick, O.D.
-
Carol A. Bottjer, OD
-
Rachel Gorgy, OD
-
Steven M. Berry, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070413000380 | NM | Part B Supplier - Clinic/Group Practice | 7810092251 |
Receives reassigned benefits from 5 practitioners Practice locations: Cedar Crest, NM |
National Provider Directory
Locations
12220 N Highway 14
Ste 3
Cedar Crest, NM 87008
Phone (505) 286-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
12220 North Highway 14
Suite 3
Cedar Crest, NM 87008
Mailing address
PO Box 1640
Cedar Crest, NM 87008-1640
Phone (505) 286-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65109333 | Medicaid | NM |
Other providers in Cedar Crest, NM
- Bioelectro Medicine LLC
- Bodymindspirit
- Carol A. Bottjer
- Amy Brookes
- Harry Russell Burger
- Chapters LLC
- Charter Healthcare of Albuquerque, LLC
- May Ying Chau
- Luis Manuel Chaveste-Fernandez
- Anthony Sheng-Yuan Chuang
All providers in Cedar Crest, NM · Optometrist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.