# ALBUQUERQUE AMBULATORY EYE SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205878758
- **Authorized official:** MRS. JANICE E. YOUNG (CFO)
- **Authorized official phone:** (505) 246-2622

## Contact information

- **Practice address:** 5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
- **Practice address phone:** (505) 823-8545
- **Practice address fax:** (505) 823-8549
- **Mailing address:** PO BOX 90550, ALBUQUERQUE, NM 87199-0550
- **Mailing address phone:** (505) 768-1333
- **Mailing address fax:** (505) 244-9566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3087 | NM | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 01/10/2014