Accent on Vision Albuquerque LLC
Organization Active NPI Optometrist · Albuquerque, NM
NPI 1407044738 · NPPES record last updated Sep 21, 2012
Key facts
- NPI
- 1407044738
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OP2325 (NM)
- Legal business name
- ACCENT ON VISION ALBUQUERQUE LLC
- Practice address
- 9131 High Assets Way NW
Albuquerque, NM 87120-5802 - Phone
- (505) 898-4884
- Fax
- (505) 898-8274
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul Tachau, O.D.
- Title
- Optometrist
- Phone
- (505) 898-4884
Practitioners 2
-
Ashley J. Pulis, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040422000150 | NM | Part B Supplier - Clinic/Group Practice | 5890781140 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OP2325 | NM | Yes |
Addresses
Primary practice location
9131 High Assets Way NW
Albuquerque, NM 87120-5802
Mailing address
9131 High Assets Way NW
Albuquerque, NM 87120-5802
Phone (505) 898-4884
Other providers in Albuquerque, NM
- Academy Orthopaedic Clinic LLC
- Jeannine M Acantilado
- Acc Consultants
- Acc Health
- Accelerated Wellness & Aesthetics PC
- Accent on Vision East, LLC
- Acceptance LLC
- Access Endocrinology LLC
- Access MD LLC
- Access Neuropsychology, LLC
All providers in Albuquerque, NM · Optometrist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.