Organization Active NPI

Eye Site PA

  • Optometrist
  • Hobbs, NM
National Provider Identifier
1366522344
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
223 Issued in NM
Legal business name
EYE SITE PA
Practice address
1811 N Dal Paso
Hobbs, NM 88240
Phone
(505) 397-3611
Fax
(505) 393-1544
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Mr. Wayne F Hamm, OD
Title
President
Phone
(505) 397-3611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 223 NM Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 230 NM
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 574 NM

Addresses

Primary practice location

1811 N Dal Paso
Hobbs, NM 88240

Mailing address

1811 N Dal Paso
Hobbs, NM 88240
Phone (505) 397-3611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1366522344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N DAL PASO",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88240",
            "telephone_number": "505-397-3611",
            "fax_number": "505-393-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N DAL PASO",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88240",
            "telephone_number": "505-397-3611",
            "fax_number": "505-393-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-397-3611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "223",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "230",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.