Christopher Charles Cordes, O.D.
Individual provider Active NPI Optometrist · Albuquerque, NM
NPI 1033318902 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1033318902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 13297 (CA)
- Practice address
- 801 Vassar Dr NE
Albuquerque, NM 87106 - Phone
- (505) 248-4003
- Fax
- (505) 248-7721
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Albuquerque Indian Health Center
Practice addresses (Care Compare)
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-4000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071013000012 | TX | Practitioner - Optometry | 7517053085 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13279T | CA | MD | Optometrist |
| 13297 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canoncito Band of Navajos Health Center, Inc. | Current |
Accepting new patients | |
| Canoncito Band of Navajos Health Center, Inc | Current | Accepting new patients | |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Locations
129 Medicine Horse Dr
Tohajiilee, NM 87026
Phone (505) 908-2307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13279T | CA | |
| Optometrist | 152W00000X | 13297 | CA | Yes |
Addresses
Primary practice location
801 Vassar Dr NE
Albuquerque, NM 87106
Mailing address
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-4003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88282902 | Medicaid | NM |
Other providers in Albuquerque, NM
- Miriam J. Corcoran
- Yvonne Janice Corcoran
- Angelina Cordeiro
- Idaly Cordero
- Jesse Cordero
- Linda Cordier
- Aviliana Cordoni
- Loretta Cordova de Ortega
- Aurelia Jane Cordova-Crews
- Kyra Cordova-Urioste
All providers in Albuquerque, NM · Optometrist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.