Alexandra Corwin, O.D. (OPTOMETRIST)

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT381 Issued in NM

Practice address

3811 Cerrillos Rd Ste 103
Santa Fe, NM 87507-4150

Phone

(505) 989-9600

NPI assigned

Nov 30, 2018

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

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 and National Provider Directory roles.

• Ultimate Eyecare Santa Fe, LLC

  • Optometrist
  • Santa Fe, NM
  • NPI 1891182721
  Medicare reassignment NPD

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1043780141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W SAN MATEO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054027",
            "telephone_number": "505-699-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 CERRILLOS RD STE 103",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074150",
            "telephone_number": "505-989-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "O.D. (OPTOMETRIST)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Marie Correnti, RN
• Stephen Marshall Corriz, DO
• Marissa D Cortes Mendez, CNM, CNP
• Amy L Cortese, MS
• Joanna Corti, DOM
• Cosmos Health Services LLC
• Michele Costa Argollo Monn
• Ivy Anna Costello
• Colin Coulson, CRNA
• Julia Marie Coulter, O.D.

• Optometrist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.