Advanced Eye Care LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

MD2011-0709 Issued in NM

Legal business name

ADVANCED EYE CARE LLC

Doing business as

Southwest Eye Clinic

Practice address

2030 S Solano Dr
Las Cruces, NM 88001-5402

Phone

(575) 521-1158

NPI assigned

Dec 16, 2011

Last updated

Dec 16, 2011By 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. Johnny Michel Khoury, M.D.

Title

President

Phone

(702) 738-9792

Specialties & licenses 1

Addresses

Other names 1

• Southwest Eye Clinic Doing business as

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1497024624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015402",
            "telephone_number": "575-521-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015402",
            "telephone_number": "575-521-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-738-9792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NM",
            "license": "MD2011-0709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmologic Surgery Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Ophthalmologic Surgery Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.