Eye-Site Roswell LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE-SITE ROSWELL LLC

Practice address

1100 N Main
Roswell, NM 88201-4909

Phone

(575) 397-3611

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Diane Munoz

Title

Billing Specialist

Phone

(575) 397-3611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 3

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.

• Colby Barton, OD

  • Optometrist
  • Roswell, NM
  • NPI 1750802682
  Medicare reassignment Care Compare group NPD
• Spencer Franz, O.D.

  • Optometrist
  • Hobbs, NM
  • NPI 1316297682
  Medicare reassignment Care Compare group NPD
• Andrew Lyman, OD

  • Optometrist
  • Carlsbad, NM
  • NPI 1811778822
  Medicare reassignment NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1124754395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N DAL PASO ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882403042",
            "telephone_number": "575-397-3611",
            "fax_number": "575-393-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MAIN",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014909",
            "telephone_number": "575-397-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE-SITE ROSWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "575-397-3611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Douglas Evans, M.D.
• Karri Ann Everett
• Evora Therapy Services LLC
• Eye Associates of New Mexico, LTD. (Eye Associates of New Mexico)
• Eye Catchers Inc
• Eyemart Express LLC
• Maria Teresa Fairclough, LMSW
• Jamie Rene Fairres
• Familia Dental Ros LLC (Familia Dental)
• Farmer's Uptown Pharmacy, LLC

• Optometrist in Roswell, NM
• Providers in Roswell, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.