Organization
KENT SCHAUER OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA SCHAUER (OFFICE MANAGER)
(505) 299-4426
Entity
Organization
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 STE A, ALBUQUERQUE, NM 87111-3605
(505) 299-4426
(505) 299-3746
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
221
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM01P518
BLUE CROSS BLUE SHIELD OF NEW MEXICO
NM
Enumeration date
08/02/2011
Last updated
08/02/2011
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