Nicolette Estrada, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

686 Issued in NM

Practice address

4905 San Timoteo Ave NW
Albuquerque, NM 87114-3814

Phone

(505) 400-5319

NPI assigned

Sep 14, 2015

Last updated

Sep 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Western University of Health Sciences College of Dental Med, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albuquerque Associates of OptometryGroup PAC ID 9335138452, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albuquerque Associates of Optometry

  dba Sandia Vision Clinic

  • Optometrist
  • Albuquerque, NM
  • NPI 1114058005
  Medicare reassignment Care Compare group NPD
• Albuquerque Associates of Optometry

  dba Sandia Visiom Clinic

  • Optometrist
  • Albuquerque, NM
  • NPI 1912182932
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1033587514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 SAN TIMOTEO AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 SAN TIMOTEO AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143814",
            "telephone_number": "505-400-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "NICOLETTE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyonne Janyse Estrada
• Isabella Estrada, OTR/L
• Kenni Marie Estrada
• Michael Estrada
• Myrna Estrada, RDH
• Ramiro Estrada, CCSS
• Ron Estrada
• Vanesa N Estrada
• Yahaira Estrada, LMSW- PROVISIONAL
• Aisha Estrella

• Optometrist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.