Sean Carlile, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

623 Issued in NM

Practice address

1646 Alameda Blvd NW
Albuquerque, NM 87114-8807

Phone

(505) 792-3937

Fax

(505) 792-3501

NPI assigned

Sep 8, 2010

Sex

Male

Sole proprietor

No

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.

• Cottonwood Vision Care LLC

  • Optometrist
  • Albuquerque, NM
  • NPI 1306913462

  NM

  Medicare reassignment Care Compare group

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cottonwood Vision Care LLC 4 clinicians

Practice addresses (Care Compare)

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2010.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1104133420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 MONTGOMERY BLVD NE APT 32",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114164",
            "telephone_number": "505-999-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 ALAMEDA BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148807",
            "telephone_number": "505-792-3937",
            "fax_number": "505-792-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLILE",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rada Carl, SLP
• Yonatan Carl, MD
• Leah Hope Carleton, MS
• Sylvia Marie Carleton, MFTI
• Desiree Carlile
• Amie Heather Carlin
• Elizabeth Anne Carling, D.O.M.
• Aaron Hugh Carlisle, RPH
• Jacqueline Carlisle, D.C.
• Lisbeth Jane Carlisle, RN

• All providers in Albuquerque, NM
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.