Active NPI
Thomas A Paz, OD
- Optometrist
- Las Cruces, NM
National Provider Identifier
1346359593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 360
- Practice address
- 330 E Boutz Rd
Las Cruces, NM 88005-3255 - Phone
- (575) 526-3314
- Fax
- (575) 526-1061
- NPI assigned
- Aug 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 360 | NM | Primary |
Addresses
Primary practice location
330 E Boutz Rd
Las Cruces, NM 88005-3255
Mailing address
PO Box 819
Las Cruces, NM 88004-0819
Phone (575) 526-3314
Other practice location 1
780 S Walnut St Bldg 4
Las Cruces, NM 88001-1425
Phone (575) 523-5300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410044743 | Other | NM | RAILROAD MEDICARE |
| NM00P540 | Other | NM | BCBS |
| P1100 | Medicaid | NM | |
| 202019191 | Other | NM | PRESBYTERIAN HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360 | NM | MD | Speech-Language Pathologist |
Interoperability endpoints
- thomas.paz@direct.revolutionehr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1346359593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880040819",
"telephone_number": "575-526-3314",
"fax_number": "575-526-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E BOUTZ RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053255",
"telephone_number": "575-526-3314",
"fax_number": "575-526-1061"
}
],
"practiceLocations": [
{
"address_1": "780 S Walnut St Bldg 4",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880011425",
"country_code": "US",
"telephone_number": "575-523-5300",
"fax_number": "575-526-1061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAZ",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410044743",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM00P540",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P1100",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTHCARE",
"identifier": "202019191",
"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 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.