Organization Active NPI

Southwest Eyewear Inc

  • Eyewear Supplier
  • Albuquerque, NM
National Provider Identifier
1174683403
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2499747 Issued in NM
Legal business name
SOUTHWEST EYEWEAR INC
Practice address
7110 Wyoming Blvd NE
Albuquerque, NM 87109-4867
Phone
(505) 346-0500
Fax
(505) 346-0164
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Mrs. Victoria Ann Teahan
Title
Secretary Treasurer
Phone
(505) 346-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2499747 NM Primary

Addresses

Primary practice location

7110 Wyoming Blvd NE
Albuquerque, NM 87109-4867

Mailing address

7110 Wyoming Blvd NE
Albuquerque, NM 87109-4867
Phone (505) 346-0500

Other names 1

  • Southwest Eyewear Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7110 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 241-5461

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1174683403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094867",
            "telephone_number": "505-346-0500",
            "fax_number": "505-346-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094867",
            "telephone_number": "505-346-0500",
            "fax_number": "505-346-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EYEWEAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "TEAHAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "505-346-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NM",
            "license": "2499747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.