Eyes to You, Inc. – Optician in Gallup, NM

Key facts

NPI: 1043439003
Entity type: Organization (NPI type 2)
Primary specialty: Optician 156FX1800X
Legal business name: EYES TO YOU, INC.
Practice address: 1500 S 2ND St
Suite 6
Gallup, NM 87301-5862
Phone: (505) 722-7254
Fax: (505) 863-4266
NPI assigned: Apr 25, 2007
Organization subpart: No

Authorized official

Name: Ms. Tanni Irwin
Title: Co-Owner
Phone: (505) 722-7254

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Eyes to You, Inc Optician · Gallup, NM · NPI 1275735060

NPD tax ID

National Provider Directory

Tax ID family: Bishop Optical (2 organizations share this tax ID)

Locations

1500 S Second St
Ste 6
Gallup, NM 87301
Phone (505) 722-7254

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optician Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	156FX1800X		NM	Yes

Addresses

Primary practice location

1500 S 2ND St
Suite 6
Gallup, NM 87301-5862

Mailing address

PO Box 2290
Gallup, NM 87305-2290
Phone (505) 722-7254

Other identifiers

Identifier	Type	State	Issuer
05486521	Medicaid	NM
67072224	Medicaid	NM

Other names

Bishop Optical Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043439003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2290",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873052290",
            "telephone_number": "505-722-7254",
            "fax_number": "505-863-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 2ND ST",
            "address_2": "SUITE 6",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015862",
            "telephone_number": "505-722-7254",
            "fax_number": "505-863-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES TO YOU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "TANNI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-722-7254",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05486521",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67072224",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bishop Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallup, NM

All providers in Gallup, NM · Optician 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 Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.