Caroline Elizabeth Wanner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003248 Issued in VA

Practice address

8380 Cerrillos Rd Ste 300
Santa Fe, NM 87507-4418

Phone

(505) 375-8955

Fax

(505) 404-0795

NPI assigned

Apr 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Eye Associates, Inc. OptometristsGroup PAC ID 7911043021, 4 clinicians

Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caroline.wanner.p1@direct.eyenm.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Associates of New Mexico LTD

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1104868520

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eastern Eye Associates, Inc. Optometrists

  • Optometrist
  • Hayes, VA
  • NPI 1790852986
  Medicare reassignment Care Compare group NPD
• Eye Associates of New Mexico LTD

  • Optician
  • Albuquerque, NM
  • NPI 1346003241

  Optometrist

  NPD
• Eye Associates of New Mexico, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Los Alamos, NM
  • NPI 1104963040

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1487340212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE STE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131563",
            "telephone_number": "505-246-2622",
            "fax_number": "505-715-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 CERRILLOS RD STE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074418",
            "telephone_number": "505-375-8955",
            "fax_number": "505-404-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNER",
        "first_name": "CAROLINE",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT-2025-0015",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Joseph Walterscheid, DNP
• Lauren Elyse Waltersdorf
• Hannah Walton
• Waltor Surgical Assisting
• Waltor Surgical Assisting
• Caroline Ward
• John E Ward Jr., MD
• Shane Ward, LMHC
• Warren G. Hoffman D.D.S. P.a.
• Darlene Warren

• Optometrist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.