NPIMap

Organization Active NPI

Eye Associates of New Mexico LTD

  • Ophthalmology Physician
  • Albuquerque, NM
National Provider Identifier
1104868520
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE ASSOCIATES OF NEW MEXICO LTD
Practice address
5757 Harper Dr NE
Albuquerque, NM 87109-3566
Phone
(505) 888-5757
Fax
(505) 715-5334
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Amber Kristin Pacheco
Title
Credentialing Coordinator
Phone
(505) 246-2622

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

5757 Harper Dr NE
Albuquerque, NM 87109-3566

Mailing address

8801 Horizon Blvd NE Ste 360
Albuquerque, NM 87113-1563
Phone (505) 246-2622

Other identifiers 7

IdentifierTypeStateIssuer
K5006MedicaidNM
94-000619MedicaidCO
CH4370OtherNMRAILROAD MEDICARE
CN6728OtherNMRAILROAD MEDICARE
310132MedicaidAZ
47951MedicaidNM
1198269-02MedicaidTX

Other names 1

  • Eye Associates of New Mexico Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511001422 NM Part B Supplier - Clinic/Group Practice 4486643616 Receives reassigned benefits from 89 practitioners
2 other NPIs on this enrollment
Practice locations: Taos, NM; Albuquerque, NM; Santa Fe, NM; Roswell, NM; Rio Rancho, NM; Los Lunas, NM; Las Vegas, NM; Gallup, NM…

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4411 The 25 Way NE
Ste 325
Albuquerque, NM 87109
Phone (505) 823-4411

1603 Main St SW
Los Lunas, NM 87031
Phone (505) 865-6100

1817 Wellspring Ave SE
Ste A
Rio Rancho, NM 87124
Phone (505) 892-3434

1606 SE Main St
Roswell, NM 88203
Phone (575) 624-0370

2945 Rodeo Park Dr E
Unit 8
Santa Fe, NM 87505
Phone (505) 428-2580

8380 Cerrillos Rd
Ste 300
Santa Fe, NM 87507
Phone (505) 375-8955

2947 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 474-9880

Practitioners & affiliated clinicians

Practitioners 89

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

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1104868520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE STE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131563",
            "telephone_number": "505-246-2622",
            "fax_number": "505-715-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 HARPER DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093566",
            "telephone_number": "505-888-5757",
            "fax_number": "505-715-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF NEW MEXICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "505-246-2622"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K5006",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94-000619",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4370",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN6728",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310132",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47951",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198269-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of New Mexico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.