Organization
ULTRAVISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLENE T.H. SOKOLA OD (OWNER)
(505) 884-2020
Entity
Organization
Contact information
Practice address
2127 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1714
(505) 884-2020
(505) 880-0029
Mailing address
2127 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1714
(505) 884-2020
(505) 880-0029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00P119
BLUE CROSS BLUE SHIELD PROVIDER ID
NM
01
—
4451462
CIGNA PROVIDER ID
NM
01
—
672938
UNITED HEALTH CARE PROVIDER ID
NM
Enumeration date
02/05/2009
Last updated
02/05/2009
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