Active NPI
Eye Design LLC
- Optometrist
- Santa Fe, NM
National Provider Identifier
1134450240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 596
- Legal business name
- EYE DESIGN LLC
- Practice address
- 41 Monterey Rd
Santa Fe, NM 87508-8288 - Phone
- (505) 466-4392
- Fax
- (505) 466-4392
- NPI assigned
- Jan 29, 2010
- 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
- Ingrid Mooney
- Title
- Owner
- Phone
- (505) 466-4392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 596 | NM | Primary |
Addresses
Primary practice location
41 Monterey Rd
Santa Fe, NM 87508-8288
Mailing address
41 Monterey Rd
Santa Fe, NM 87508-8288
Phone (505) 466-4392
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364256000000",
"number": "1134450240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MONTEREY RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088288",
"telephone_number": "505-466-4392",
"fax_number": "505-466-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MONTEREY RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088288",
"telephone_number": "505-466-4392",
"fax_number": "505-466-4392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE DESIGN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-29",
"last_updated": "2013-03-26",
"status": "A",
"authorized_official_last_name": "MOONEY",
"authorized_official_first_name": "INGRID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-466-4392"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NM",
"license": "596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.