Organization Active NPI

Folkman Vise and Associates Eye Clinic

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1093954612
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2411 Issued in NM
Legal business name
FOLKMAN VISE AND ASSOCIATES EYE CLINIC
Practice address
6208 Montgomery Blvd NE
Ste E
Albuquerque, NM 87109-1400
Phone
(505) 822-8387
Fax
(505) 883-9512
NPI assigned
Feb 5, 2009
Organization subpart
Yes
Parent organization
JAY S FOLKMAN OD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. David R Vise, OD
Title
Optometrist
Phone
(505) 822-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP2411 NM Primary

Addresses

Primary practice location

6208 Montgomery Blvd NE
Ste E
Albuquerque, NM 87109-1400

Mailing address

6821 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109-1444
Phone (505) 881-7440

National Provider Directory

National Provider Directory
Part of
Jay S Folkman OD PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1233878400000",
    "number": "1093954612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 MONTGOMERY BLVD NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091444",
            "telephone_number": "505-881-7440",
            "fax_number": "505-837-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 MONTGOMERY BLVD NE",
            "address_2": "STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091400",
            "telephone_number": "505-822-8387",
            "fax_number": "505-883-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLKMAN VISE AND ASSOCIATES EYE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAY S FOLKMAN OD PC",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "VISE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "505-822-8387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 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.