Active NPI
Edward Victor Hernandez, M.D.
- Ophthalmology Physician
- Las Cruces, NM
National Provider Identifier
1346263126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 98290
- Practice address
- 2810 N Telshor Blvd
Las Cruces, NM 88011-8230 - Phone
- (575) 523-2020
- Fax
- (575) 521-1553
- NPI assigned
- Jul 25, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | M6187 | TX | |
| Ophthalmology Physician | 207W00000X | 98290 | NM | Primary |
| Ophthalmology Physician | 207W00000X | G080256 | CA |
Addresses
Primary practice location
2810 N Telshor Blvd
Las Cruces, NM 88011-8230
Mailing address
2810 N Telshor Blvd
Las Cruces, NM 88011-8230
Phone (575) 523-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S8436 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of California, San Francisco School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2810 N Telshor Blvd
Las Cruces, NM 88011-8230
Phone (575) 523-2020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.92 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 342 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G080256 | CA | MD | Ophthalmology Physician |
| 98290 | NM | MD | Ophthalmology Physician |
| M6187 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes of the Southwest, PC | Ophthalmology | Current | Accepting new patients |
Locations
2810 N Telshor Blvd
Las Cruces, NM 88011
Phone (505) 532-2033
Interoperability endpoints
- ehernandez@eyesofsw.intellechartdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Las Cruces, NM
- NPI 1780853549
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259366400000",
"number": "1346263126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118230",
"telephone_number": "575-523-2020",
"fax_number": "575-521-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 N TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118230",
"telephone_number": "575-523-2020",
"fax_number": "575-521-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "EDWARD",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2009-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "M6187",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NM",
"license": "98290",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G080256",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S8436",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.