High Country Macula Retina and Vitreous PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD2004-0206 Issued in NM

Legal business name

HIGH COUNTRY MACULA RETINA AND VITREOUS PC

Practice address

4343 Pan American Fwy NE Ste 225
Albuquerque, NM 87107-6834

Phone

(505) 344-5400

Fax

(505) 344-5404

NPI assigned

Aug 16, 2006

Last updated

Aug 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Scott Seligson, M.D.NPI 1124069471

Title

Ceo

Phone

(505) 982-5716

Specialties & licenses 1

Addresses

Locations

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.

• Michael Scott Seligson, M.D.

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1124069471
  Authorized official Same address or phone

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1477666568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST STE 600",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053995",
            "telephone_number": "505-982-5716",
            "fax_number": "505-982-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 PAN AMERICAN FWY NE STE 225",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076834",
            "telephone_number": "505-344-5400",
            "fax_number": "505-344-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY MACULA RETINA AND VITREOUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "SELIGSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-982-5716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2004-0206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loni Higgins, LMSW
• Marla Kay Higgins, MA
• Ronne Lee Higgins, PT
• Shafer Higgins, CF-SLP
• Deborah W Higgs, LMHC, LPCC
• High Desert Dental LLC (High Desert Dental)
• High Desert Dermatology PC
• High Desert Doppler
• High Desert Doppler Inc.
• High Desert Family Services

• Ophthalmology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Ophthalmology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.