NPIMap

Organization Active NPI

Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
National Provider Identifier
1104295906
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NM2009-0470 Issued in 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
Last updated
Feb 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FILLMORE EYE CLINIC INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Parley D Fillmore, MDNPI 1831307594
Title
President
Phone
(575) 434-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NM2009-0470 NM Primary

Addresses

Primary practice location

1120 10TH St
Alamogordo, NM 88310-6414

Mailing address

1124 10TH St
Alamogordo, NM 88310-6414
Phone (575) 443-0200

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2110185Fillmore Eye Clinic Inc1120 10TH Street, Alamogordo, NM 88310Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory
Part of
Fillmore Eye Clinic Inc ASC

Locations

1415 S Valley Dr
Ste 200
Las Cruces, NM 88005
Phone (575) 800-5931

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1104295906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106414",
            "telephone_number": "575-443-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106414",
            "telephone_number": "575-443-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILLMORE EYE CLINIC INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FILLMORE EYE CLINIC INCORPORATED",
        "enumeration_date": "2015-09-22",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "FILLMORE",
        "authorized_official_first_name": "PARLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-434-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "NM2009-0470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.