Active NPI
Dr Alissa M Irons LLC
- Optometrist
- Albuquerque, NM
National Provider Identifier
1336334119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NM2530
- Legal business name
- DR ALISSA M IRONS LLC
- Practice address
- 201 Slate Ave NW
Albuquerque, NM 87102 - Phone
- (505) 247-3463
- Fax
- (505) 842-0499
- NPI assigned
- Sep 13, 2007
- Last updated
- Feb 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alissa M Irons, OD
- Title
- Owner/Optometrist
- Phone
- (505) 247-3463
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NM2530 | NM | Primary |
Addresses
Primary practice location
201 Slate Ave NW
Albuquerque, NM 87102
Mailing address
201 Slate Ave NW
Albuquerque, NM 87102
Phone (505) 247-3463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K1923 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 Slate Ave NW
Albuquerque, NM 87102
Phone (505) 247-3463
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Albuquerque, NM
- NPI 1740306521
-
- Optometrist
- Albuquerque, NM
- NPI 1194250548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392595200000",
"number": "1336334119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SLATE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-247-3463",
"fax_number": "505-842-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SLATE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-247-3463",
"fax_number": "505-842-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR ALISSA M IRONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-13",
"last_updated": "2014-02-17",
"status": "A",
"authorized_official_last_name": "IRONS",
"authorized_official_first_name": "ALISSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "505-247-3463",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "NM2530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K1923",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
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 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.