Individual provider Active NPI

Len J. Schmeltzer, O.D.

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1467425769
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
367 Issued in NM
Practice address
5343 Wyoming Blvd NE
Suite 2
Albuquerque, NM 87109-3199
Phone
(505) 332-2020
Fax
(505) 332-8343
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 367 NM Primary

Addresses

Primary practice location

5343 Wyoming Blvd NE
Suite 2
Albuquerque, NM 87109-3199

Mailing address

700 E Valverde Rd
Corrales, NM 87048-8223
Phone (505) 332-2020

Other identifiers 1

IdentifierTypeStateIssuer
000P1266MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1467425769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E VALVERDE RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488223",
            "telephone_number": "505-332-2020",
            "fax_number": "505-332-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 WYOMING BLVD NE",
            "address_2": "SUITE 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093199",
            "telephone_number": "505-332-2020",
            "fax_number": "505-332-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMELTZER",
        "first_name": "LEN",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000P1266",
            "state": "NM"
        }
    ],
    "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 Oct 3, 2012; 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.