Individual provider Active NPI

Edward Victor Hernandez, M.D.

  • Ophthalmology Physician
  • Las Cruces, NM
National Provider Identifier
1346263126
Registry record updated Nov 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
98290 Issued in NM
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

Updated by the provider on Nov 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
S8436MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000211 NM Practitioner - Ophthalmology 7810998085 Reassigns benefits to 1 organization

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
Eyes of the Southwest, PCGroup PAC ID 4284794769, 2 clinicians

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 100Reported as individual
Quality
100
Improvement activities
40
Cost
79.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G080256CAMDOphthalmology Physician
98290NMMDOphthalmology Physician
M6187TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes of the Southwest, PC Ophthalmology CurrentSince Oct 1, 2008 Accepting new patients

Locations

2810 N Telshor Blvd
Las Cruces, NM 88011
Phone (505) 532-2033

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.