NPIMap

Organization Active NPI

Eyes of NM Family Optometry LLC

Doing business as Eyes of New Mexico Family Optomety

  • Optometrist
  • Los Ranchos, NM
National Provider Identifier
1396042792
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
611 Issued in NM
Legal business name
EYES OF NM FAMILY OPTOMETRY LLC
Doing business as
Eyes of New Mexico Family Optomety
Practice address
502 El Pueblo Rd NW
Los Ranchos, NM 87114-1105
Phone
(505) 385-0826
NPI assigned
Feb 21, 2011
Last updated
May 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Dr. Tiffany Garcia Martinez, O.D.NPI 1851522445
Title
Optometrist
Phone
(505) 385-0826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 611 NM Primary
Low Vision Rehabilitation Optometrist 152WL0500X 611 NM
Pediatric Optometrist 152WP0200X 611 NM
Vision Therapy Optometrist 152WV0400X 611 NM

Addresses

Primary practice location

502 El Pueblo Rd NW
Los Ranchos, NM 87114-1105

Mailing address

7007 Wyoming Blvd NE
Suite C-1
Albuquerque, NM 87109-3987
Phone (505) 828-3937

Other identifiers 1

IdentifierTypeStateIssuer
36724874MedicaidNM

Other names 2

  • Eyes of New Mexico Family Optomety Doing business as
  • Hands & Martinez Optometry LLC Former legal business name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1396042792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE",
            "address_2": "SUITE C-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093987",
            "telephone_number": "505-828-3937",
            "fax_number": "505-715-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EL PUEBLO RD NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871141105",
            "telephone_number": "505-385-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OF NM FAMILY OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "505-385-0826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "611",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NM",
            "license": "611",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NM",
            "license": "611",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NM",
            "license": "611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36724874",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes of New Mexico Family Optomety",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyes of New Mexico Family Optomety",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hands & Martinez Optometry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Ranchos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.