Individual provider Active NPI

Adrian Tenorio, OD

  • Optometrist
  • Las Cruces, NM
National Provider Identifier
1174632335
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
501 Issued in NM
Practice address
330 E Boutz Rd
Las Cruces, NM 88005-3255
Phone
(575) 526-3314
Fax
(575) 526-1061
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 501 NM Primary

Addresses

Primary practice location

330 E Boutz Rd
Las Cruces, NM 88005-3255

Mailing address

PO Box 819
Las Cruces, NM 88004-0819
Phone (575) 526-3314

Other practice location 1

780 S Walnut St Bldg 4
Las Cruces, NM 88001-1425
Phone (575) 523-5300

Other identifiers 3

IdentifierTypeStateIssuer
NM00PB15OtherNMBCBS
70135MedicaidNM
202006349OtherNMPRESBYTERIAN HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090312000277 NM Practitioner - Optometry 4082770284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Looks PAGroup PAC ID 6901962208, 3 clinicians

Practice addresses (Care Compare)

330 E Boutz Rd
Las Cruces, NM 88005-3255
Phone (575) 526-3314

Merit-based Incentive Payment System (MIPS)

Final score
95.81 of 100Reported as group
Quality
91.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
501NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Looks, PA Optometrist CurrentSince Dec 14, 2001 Accepting new patients

Locations

330 E Boutz Rd
Las Cruces, NM 88005
Phone (505) 526-3314

780 S Walnut St
Bldg 4
Las Cruces, NM 88001
Phone (575) 523-5300

Interoperability endpoints

  • Direct secure messaging: adrian.tenorio@direct.revolutionehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1174632335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880040819",
            "telephone_number": "575-526-3314",
            "fax_number": "575-526-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E BOUTZ RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053255",
            "telephone_number": "575-526-3314",
            "fax_number": "575-526-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 S Walnut St Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880011425",
            "country_code": "US",
            "telephone_number": "575-523-5300",
            "fax_number": "575-526-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENORIO",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00PB15",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70135",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTHCARE",
            "identifier": "202006349",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.