Organization
FASHION OPTICAL AND SUNWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE M BACA (MANAGER)
(505) 888-3991
Entity
Organization
Contact information
Practice address
7415 MENAUL BLVD NE, ALBUQUERQUE, NM 87110
(505) 888-3991
(505) 830-2974
Mailing address
7415 MENAUL BLVD NE, ALBUQUERQUE, NM 87110
(505) 888-3991
(505) 830-2974
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
03074110006
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21503371
—
NM
Enumeration date
04/30/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up