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L VICTOR SANDOVAL P.C. NPI 1316136443


NPI Information

NPI: 1316136443
Provider Name: L VICTOR SANDOVAL, P.C.
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
700 S TELSHOR BLVD
STE #1534
LAS CRUCES, NM
ZIP 88011
Phone: (575) 522-8334
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L VICTOR SANDOVAL, P.C. is a corneal and contact management optometrist in Las Cruces, NM. The provider is 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. L VICTOR SANDOVAL, P.C. NPI is 1316136443. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 S TELSHOR BLVD
STE #1534
LAS CRUCES, NM
ZIP 88011-608
Phone: (575) 522-8334
Fax: (575) 522-1065

The provider's authorized official is L Victor Sandoval .
The authorized official title is Owner/president and has the following contact phone number (575) 522-8334.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 12/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management2260NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1900521269MEDICARE UPINNEW MEXICO
2249603101MEDICARE PINNEW MEXICO
399429268MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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