Fillmore Eye Clinic Incorporated
Organization Active NPI Ophthalmology Physician · Alamogordo, NM
NPI 1104295906 · NPPES record last updated Feb 28, 2020
Key facts
- NPI
- 1104295906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- NM2009-0470 (NM)
- Legal business name
- FILLMORE EYE CLINIC INCORPORATED
- Practice address
- 1120 10TH St
Alamogordo, NM 88310-6414 - Phone
- (575) 443-0200
- NPI assigned
- Sep 22, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- FILLMORE EYE CLINIC INCORPORATED
Authorized official
- Name
- Parley D Fillmore, MD
- Title
- President
- Phone
- (575) 434-1200
Practitioners 18
-
Neal L. Apple, MD
-
Mathew Bahrami, OD
-
Parley D Fillmore, M.D.
-
Jon Roger Hall, MD
-
Bryce S Johnson, OD
-
Angela Morgan, O.D.
-
Jerom Nelson, O.D.
-
Steven C Woodard, OD
-
Angela D Frietze, CRNA
-
Brandon Clark Hicks, O.D.
-
Aditya Mehta, M.D.
-
William Reno, CRNA
-
Robert B Smith, O.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2110185 | Fillmore Eye Clinic Inc | Certificate of waiver | Mar 9, 2028 |
National Provider Directory
- Part of
- Fillmore Eye Clinic Inc ASC
Locations
1124 10th St
Alamogordo, NM 88310
Phone (575) 434-1200
4111 Camino Coyote
#A
Las Cruces, NM 88011
Phone (575) 522-3393
2100 S Triviz Dr
Ste A
Las Cruces, NM 88001
Phone (505) 522-6500
1415 S Valley Dr
Ste 200
Las Cruces, NM 88005
Phone (575) 800-5931
205 E Smith Ave
Truth Or Consequences, NM 87901
Phone (575) 522-3393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | NM2009-0470 | NM | Yes |
Addresses
Primary practice location
1120 10TH St
Alamogordo, NM 88310-6414
Mailing address
1124 10TH St
Alamogordo, NM 88310-6414
Phone (575) 443-0200
Other providers in Alamogordo, NM
- Aundre L Fields
- Adriana Fierro
- Jordyn Figueroa
- Fillmore Eye Clinic Inc, ASC
- Fillmore Eye Clinic Incorporated
- Fillmore Eye Clinic Incorporated
- Parley D Fillmore
- Alyssa Finch
- Ariel Brookman Fine
- Stanley George Finnell
All providers in Alamogordo, NM · Ophthalmology Physician 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 Feb 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.