Precision Optical Laboratory, L.L.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

02-422969-00-001 Issued in NM

Legal business name

PRECISION OPTICAL LABORATORY, L.L.C.

Practice address

5115 Coors Blvd., N.W.
Suite E
Albuquerque, NM 87120-1926

Phone

(505) 897-2468

Fax

(505) 897-8207

NPI assigned

Apr 8, 2009

Last updated

Apr 8, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Celeste Anne Garcia-Perea

Title

Partner

Phone

(505) 897-2468

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1942443825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 COORS BLVD., N.W.",
            "address_2": "SUITE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201926",
            "telephone_number": "505-897-2468",
            "fax_number": "505-897-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 COORS BLVD., N.W.",
            "address_2": "SUITE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201926",
            "telephone_number": "505-897-2468",
            "fax_number": "505-897-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION OPTICAL LABORATORY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA-PEREA",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-897-2468",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NM",
            "license": "02-422969-00-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERICA",
            "identifier": "627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "0779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Eyewear Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.