Organization Active NPI

Ultravision, LLC

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1093954604
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ULTRAVISION, LLC
Practice address
2127 Menaul Blvd NE
Albuquerque, NM 87107-1714
Phone
(505) 884-2020
Fax
(505) 880-0029
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Arlene T.H. Sokola, OD
Title
Owner
Phone
(505) 884-2020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X

Addresses

Primary practice location

2127 Menaul Blvd NE
Albuquerque, NM 87107-1714

Mailing address

2127 Menaul Blvd NE
Albuquerque, NM 87107-1714
Phone (505) 884-2020

Other identifiers 3

IdentifierTypeStateIssuer
4451462OtherNMCIGNA PROVIDER ID
672938OtherNMUNITED HEALTH CARE PROVIDER ID
00NM00P119OtherNMBLUE CROSS BLUE SHIELD PROVIDER ID

National Provider Directory

National Provider Directory

Locations

2127 Menaul Blvd NE
Albuquerque, NM 87107
Phone (505) 884-2020

1992 N Veterans Blvd
Ste 600
Eagle Pass, TX 78852
Phone (830) 776-7324

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1093954604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071714",
            "telephone_number": "505-884-2020",
            "fax_number": "505-880-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071714",
            "telephone_number": "505-884-2020",
            "fax_number": "505-880-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRAVISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "SOKOLA",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "T.H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-884-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "4451462",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PROVIDER ID",
            "identifier": "672938",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER ID",
            "identifier": "00NM00P119",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.