Active NPI
Rivers in the Desert Eye Clinic
- Point of Service
- Farmington, NM
National Provider Identifier
1124391768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- NM399
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0001343 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Farmington, NM
- NPI 1568562478
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.