Organization Active NPI

Uptown Eye Care LLC

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1396245098
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
UPTOWN EYE CARE LLC
Practice address
6600 Menaul Blvd NE Ste M5A
Albuquerque, NM 87110-3449
Phone
(505) 884-8722
NPI assigned
Feb 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Authorized official

Name
Dr. Brandi McGraw, OD
Title
Doctor of Optometry, Sole Member
Phone
(505) 339-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6600 Menaul Blvd NE Ste M5A
Albuquerque, NM 87110-3449

Mailing address

816 Boardman Dr
Gallup, NM 87301-4711
Phone (505) 339-2015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610236800000",
    "number": "1396245098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BOARDMAN DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014711",
            "telephone_number": "505-339-2015",
            "fax_number": "505-492-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MENAUL BLVD NE STE M5A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103449",
            "telephone_number": "505-884-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY, SOLE MEMBER",
        "authorized_official_telephone_number": "505-339-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.