MEDICARE: L VICTOR SANDOVAL, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	2260	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316136443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L VICTOR SANDOVAL, P.C.

Provider Business Mailing Address
First Line	:	700 S TELSHOR BLVD
Second Line	:	STE #1534
City	:	LAS CRUCES
State	:	NM
Zip	:	88011
Country	:	US
Telephone Number	:	575-522-8334
Fax Number	:	575-522-1065

Provider Business Practice Location Address
First Line	:	700 S TELSHOR BLVD
Second Line	:	STE #1534
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8608
Country	:	US
Telephone Number	:	575-522-8334
Fax Number	:	575-522-1065

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. L VICTOR SANDOVAL
Credential	:	O.D.
Telephone Number	:	575-522-8334

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	12/22/2011

Similar Medicare Providers

1780578260 — CHRISTINA PELTROP
Practice Location Address:

700 S TELSHOR BLVD STE 1536
LAS CRUCES, NM
88011-8608

Practice Phone: 575-522-8244
Practice Fax:

1033400114 — MR. JON RICHARD WATASE
Practice Location Address:

8608 DESERT HOLLY DR
LAS VEGAS, NV
89134-8851

Practice Phone: 702-400-3819
Practice Fax:

1114204021 — KIMBERLY LOUISE ROETS MFT-INTERN
Practice Location Address:

9801 GAVIN STONE AVE
LAS VEGAS, NV
89145-8608

Practice Phone: 775-453-3459
Practice Fax:

1972857993 — JAMES ARTHUR ROETS
Practice Location Address:

9801 GAVIN STONE AVE
LAS VEGAS, NV
89145-8608

Practice Phone: 702-410-9343
Practice Fax:

1154740868 — CLARA WILLIAMS
Practice Location Address:

2717 ARMOR ST
N LAS VEGAS, NV
89030-8608

Practice Phone: 702-788-2362
Practice Fax: 702-586-6645

1669969390 — DR. JOSHUA JAMES WOLFE DPM, MHA
Practice Location Address:

4351 E LOHMAN AVE STE 301
LAS CRUCES, NM
88011-8262

Practice Phone: 575-532-9755
Practice Fax: 575-532-8881

Directions to “L VICTOR SANDOVAL, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.