NPIMap

Organization Active NPI

Albuquerque Associates of Optometry

Doing business as Sandia Vision Clinic

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1114058005
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2326 Issued in NM
Legal business name
ALBUQUERQUE ASSOCIATES OF OPTOMETRY
Doing business as
Sandia Vision Clinic
Practice address
3701 Eubank Blvd NE
Albuquerque, NM 87111-3536
Phone
(505) 298-2020
Fax
(505) 298-2382
NPI assigned
Mar 9, 2007
Last updated
Sep 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Dr. Frank T Chinisci, O.D.NPI 1194746297
Title
Coowner
Phone
(505) 298-2020

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
Optometrist 152W00000X 2326 NM Primary

Addresses

Primary practice location

3701 Eubank Blvd NE
Albuquerque, NM 87111-3536

Mailing address

3701 Eubank Blvd NE
Albuquerque, NM 87111-3536
Phone (505) 298-2020

Other identifiers 1

IdentifierTypeStateIssuer
P7438MedicaidNM

Other names 1

  • Sandia Vision Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512000299 NM Part B Supplier - Clinic/Group Practice 9335138452 Receives reassigned benefits from 12 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

123 Palomas Dr NE
Albuquerque, NM 87108
Phone (505) 265-3443

3701 Eubank Blvd NE
Albuquerque, NM 87111
Phone (505) 298-2020

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1114058005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113536",
            "telephone_number": "505-298-2020",
            "fax_number": "505-298-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113536",
            "telephone_number": "505-298-2020",
            "fax_number": "505-298-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE ASSOCIATES OF OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "CHINISCI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "505-298-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P7438",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandia Vision Clinic",
            "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 Sep 11, 2009; 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.