Organization Active NPI

Rivers in the Desert Eye Clinic

  • Point of Service
  • Farmington, NM
National Provider Identifier
1124391768
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
NM399 Issued in NM
Legal business name
RIVERS IN THE DESERT EYE CLINIC
Practice address
306 S Lake St
Farmington, NM 87401-5620
Phone
(505) 326-0552
Fax
(505) 326-0552
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Bobbie Delabarcena
Title
Office Manager
Phone
(505) 326-0552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X NM399 NM Primary

Addresses

Primary practice location

306 S Lake St
Farmington, NM 87401-5620

Mailing address

306 S Lake St
Farmington, NM 87401-5620
Phone (505) 326-0552

Other identifiers 1

IdentifierTypeStateIssuer
P0001343MedicaidNM

National Provider Directory

National Provider Directory

Locations

306 S Lake St
Farmington, NM 87401
Phone (505) 326-0552

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1124391768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S LAKE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015620",
            "telephone_number": "505-326-0552",
            "fax_number": "505-326-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S LAKE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015620",
            "telephone_number": "505-326-0552",
            "fax_number": "505-326-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS IN THE DESERT EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "DELABARCENA",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-326-0552"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NM",
            "license": "NM399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0001343",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.