Bobby G Painter OD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BOBBY G PAINTER OD

Practice address

3280 N Butler Ave
Farmington, NM 87401-2360

Phone

(505) 325-2015

Fax

(505) 327-9877

NPI assigned

Oct 31, 2007

Organization subpart

No

Name

Bobby G. Painter, OD

Title

Owner/Optometrist

Phone

(505) 325-2015

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana A McLaughlin, O.D.

  • Optometrist
  • Salem, OR
  • NPI 1346245370
  NPD (past)

Locations

• High Desert Eye Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2007.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1003095662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012360",
            "telephone_number": "505-325-2015",
            "fax_number": "505-327-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012360",
            "telephone_number": "505-325-2015",
            "fax_number": "505-327-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY G PAINTER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "505-325-2015",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynne F Bliss, M.D.
• Ronald Bliss, MD
• Jeff Blomstedt, DDS
• Bloom New Mexico LLC
• Samaira Bluehouse
• Mary Louise Bodewes, PAC
• Carrie Boehm, RDH
• Peter Boehringer, M.D.
• Bonham & Associates
• Bonham and Associates

• All providers in Farmington, NM
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.