Organization Active NPI

New Mexico Lions Crane Reading Foundation

  • Optometrist
  • Las Cruces, NM
National Provider Identifier
1982733325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
566 Issued in NM
Legal business name
NEW MEXICO LIONS CRANE READING FOUNDATION
Practice address
3315 Highridge St
Las Cruces, NM 88012-8508
Phone
(505) 649-5878
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Allen Crane
Title
Second Vice President
Phone
(505) 649-5878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 566 NM Primary

Addresses

Primary practice location

3315 Highridge St
Las Cruces, NM 88012-8508

Mailing address

3315 Highridge St
Las Cruces, NM 88012-8508
Phone (505) 649-5878

Other identifiers 1

IdentifierTypeStateIssuer
40473520MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982733325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 HIGHRIDGE ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880128508",
            "telephone_number": "505-649-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 HIGHRIDGE ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880128508",
            "telephone_number": "505-649-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO LIONS CRANE READING FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "SECOND VICE PRESIDENT",
        "authorized_official_telephone_number": "505-649-5878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40473520",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.