Active NPI
Gordon Wayne Dyer, O.D.
- Optometrist
- Hobbs, NM
National Provider Identifier
1255449161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 433
- Practice address
- 1300 N. Dal Paso
Hobbs, NM 88240 - Phone
- (575) 391-0560
- Fax
- (575) 391-0561
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 433 | NM | Primary |
Addresses
Primary practice location
1300 N. Dal Paso
Hobbs, NM 88240
Mailing address
1300 N. Dal Paso
Hobbs, NM 88240
Phone (575) 391-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 433 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1255449161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N. DAL PASO",
"city": "HOBBS",
"state": "NM",
"postal_code": "88240",
"telephone_number": "575-391-0560",
"fax_number": "575-391-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N. DAL PASO",
"city": "HOBBS",
"state": "NM",
"postal_code": "88240",
"telephone_number": "575-391-0560",
"fax_number": "575-391-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "GORDON",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.