Eye Associates of New Mexico LTD
Organization Active NPI Optician · Albuquerque, NM
NPI 1346003241 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1346003241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- Legal business name
- EYE ASSOCIATES OF NEW MEXICO LTD
- Practice address
- 4411 The 25 Way NE Ste 325
Albuquerque, NM 87109-5853 - Phone
- (505) 823-4411
- Fax
- (505) 343-6085
- NPI assigned
- Feb 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Michelle R. Butcher
- Title
- Credentialing Administrator
- Phone
- (505) 828-4923
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 11
Member of 2
Practitioners 81
-
Arlene Bagga, MD
-
Vanlin Chan Botwin, O.D.
-
Angela Renee Bratton, M.D.
-
Erin Christine Byrne, O.D.
-
Jazmine Danielle Casias, O.D.
-
Devan J Fillmore, OD
-
Iuri Stanislav Golubev, M.D.
-
Hope E Hanrahan, OD
-
Kenneth S Himmel, MD
-
Timothy J. Johnson, O.D.
-
Julie Elizabeth Kleva, O.D.
-
Jason C. Koschmeder, O.D.
-
Mark P. Lesher, M.D.
-
Renny H. Levy, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2115154 | Eye Associates of New Mexico, LTD | Certificate of waiver | Jun 28, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eye Associates of New Mexico |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240610001571 | NM | DME Supplier - Optician |
4486643616 | Practice locations: Albuquerque, NM |
National Provider Directory
- Tax ID family
- Robert P Rivera MD
Locations
806 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 842-6575
101 Hospital Loop NE
Ste 103
Albuquerque, NM 87109
Phone (505) 883-6800
2000 W 21st St
Ste R1
Clovis, NM 88101
Phone (505) 763-3445
412 S Paseo de Onate
Ste 2
Espanola, NM 87532
Phone (505) 753-7868
248 Mills Ave
Las Vegas, NM 87701
Phone (505) 426-8866
1603 Main St SW
Ste B
Los Lunas, NM 87031
Phone (505) 865-6100
1740 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-3434
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
4411 The 25 Way NE Ste 325
Albuquerque, NM 87109-5853
Mailing address
8801 Horizon Blvd NE Ste 360
Albuquerque, NM 87113-1563
Phone (505) 828-4923
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000K5006 | Medicaid | NM | |
| 00047951 | Medicaid | NM | |
| CH4370 | Other | NM | RAILROAD MEDICARE |
| CN6728 | Other | NM | RAILROAD MEDICARE |
Other names
- Eye Associates of New Mexico
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. 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.
- 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.