Nazret Gaim Weldeghiorgis, O.D.
Individual provider Active NPI Optometrist · Crownpoint, NM
NPI 1316356884 · NPPES record last updated Feb 23, 2026
Key facts
- NPI
- 1316356884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 15024 (CA)
- Practice address
- Highway Junction 57, Route 9
Crownpoint, NM 87313 - Phone
- (505) 786-5291
- NPI assigned
- Aug 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Centers of San Diego Inc
Practice addresses (Care Compare)
1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300
525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140903000980 | TX | Practitioner - Optometry |
3274751367 | Reassigns benefits to 1 organization |
| I20230825000083 | CA | Practitioner - Optometry | 3274751367 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15024 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Thoreau Clinic | Current |
Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current |
Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current |
Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients |
Locations
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15024 | CA | Yes |
Addresses
Primary practice location
Highway Junction 57, Route 9
Crownpoint, NM 87313
Mailing address
Highway Junction 57, Route 9
Crownpoint, NM 87313
Phone (505) 786-5291
Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.