Individual
KENT R SCHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4101 MORRIS ST NE, SUITE A, ALBUQUERQUE, NM 87111-3605
(505) 299-4426
(505) 299-3746
Mailing address
4101 MORRIS ST NE, SUITE A, ALBUQUERQUE, NM 87111-3605
(505) 299-4426
(505) 299-3746
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
221
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM01P518
BCBS OF NEW MEXICO
NM
05
—
P5283
—
NM
Enumeration date
09/27/2006
Last updated
05/25/2011
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