Southwest Vision Specialists, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP2549 Issued in NM

Legal business name

SOUTHWEST VISION SPECIALISTS, P.A.

Doing business as

Shelley Eye Center

Practice address

1680 Calle de Alvarez
Las Cruces, NM 88005

Phone

(505) 526-5367

Fax

(505) 526-5057

NPI assigned

Oct 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent Edward Shelley, OD

Title

Ceo/President

Phone

(505) 526-5367

Specialties & licenses 1

Addresses

Other names 1

• Shelley Eye Center Doing business as

Locations

Practitioners 1

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.

• Mark Joseph Gallardo, M.D.

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1659302099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356431605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "MESILLA PARK",
            "state": "NM",
            "postal_code": "880470130",
            "telephone_number": "505-526-5367",
            "fax_number": "505-526-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 CALLE DE ALVAREZ",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88005",
            "telephone_number": "505-526-5367",
            "fax_number": "505-526-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST VISION SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "505-526-5367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelley Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southwest Ultrasound Services LLC (Cardiovascular Ultrasound Specialists)
• Southwest Urology PC
• Soutwest Family Dental, LLC
• Tonya Soveranes
• Sovereign Therapy & Recovery LLC
• Jesse Eddie Sowards, O.D.
• Joyce Lee Sowards

• Optometrist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.