Provider Demographics
NPI:1114354719
Name:FRAMED, LLC
Entity Type:Organization
Organization Name:FRAMED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:575-522-9051
Mailing Address - Street 1:2810 N TELSHOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8230
Mailing Address - Country:US
Mailing Address - Phone:575-522-9051
Mailing Address - Fax:
Practice Address - Street 1:2810 N TELSHOR BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8230
Practice Address - Country:US
Practice Address - Phone:575-522-9051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYES OF THE SOUTHWEST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-27
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM98-290332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier