NPIMap

Organization Active NPI

First Nations Community Health Source, Inc.

Doing business as First Nations Community Healthsource Vision Clinic

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1407675374
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.
Doing business as
First Nations Community Healthsource Vision Clinic
Practice address
505 Madeira Dr SE
Albuquerque, NM 87108-3611
Phone
(505) 944-7397
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Linda Stone
Title
Ceo
Phone
(505) 262-6543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

505 Madeira Dr SE
Albuquerque, NM 87108-3611

Mailing address

5608 Zuni Rd SE
Albuquerque, NM 87108-2926

Other names 1

  • First Nations Community Healthsource Vision Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Nations Community Healthsource Inc14 organizations share this tax ID, including this one
Part of
First Nations Community Healthsource Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1407675374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 ZUNI RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MADEIRA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083611",
            "telephone_number": "505-944-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-262-6543"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Nations Community Healthsource Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 2024; 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.