Organization Active NPI

Dean Eyecare, PC

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1245408079
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
382 Issued in NM
Legal business name
DEAN EYECARE, PC
Practice address
5600 Wyoming Blvd NE
Suite 205
Albuquerque, NM 87109-3149
Phone
(505) 828-0828
Fax
(505) 828-0848
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
DC Dean, OD
Title
Owner
Phone
(505) 828-0828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 382 NM Primary

Addresses

Primary practice location

5600 Wyoming Blvd NE
Suite 205
Albuquerque, NM 87109-3149

Mailing address

5600 Wyoming Blvd NE
Suite 205
Albuquerque, NM 87109-3149
Phone (505) 828-0828

Other names 1

  • New Mexico Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

5600 Wyoming Blvd NE
Ste 205
Albuquerque, NM 87109
Phone (505) 828-0828

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1245408079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WYOMING BLVD NE",
            "address_2": "SUITE 205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093149",
            "telephone_number": "505-828-0828",
            "fax_number": "505-828-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 WYOMING BLVD NE",
            "address_2": "SUITE 205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093149",
            "telephone_number": "505-828-0828",
            "fax_number": "505-828-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "DC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-828-0828",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Mexico Eyecare",
            "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 Feb 14, 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.