NPIMap

Organization Active NPI

Contact Lens Associates, LLC

  • Corneal and Contact Management Optometrist
  • Albuquerque, NM
National Provider Identifier
1497808554
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
CONTACT LENS ASSOCIATES, LLC
Practice address
4253 Montgomery Blvd NE
Suite 110
Albuquerque, NM 87109-1106
Phone
(505) 883-2550
NPI assigned
Jan 19, 2007
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Ronald S Vigil, O.D.NPI 1639247604
Title
Optometrist
Phone
(505) 883-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X NM Primary

Addresses

Primary practice location

4253 Montgomery Blvd NE
Suite 110
Albuquerque, NM 87109-1106

Mailing address

4253 Montgomery Blvd NE
Suite 110
Albuquerque, NM 87109-1106
Phone (505) 883-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416000906 NM Part B Supplier - Clinic/Group Practice 4587659818 Receives reassigned benefits from 4 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

4253 Montgomery Blvd NE
Ste 110
Albuquerque, NM 87109
Phone (505) 881-3744

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1497808554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 MONTGOMERY BLVD NE",
            "address_2": "SUITE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091106",
            "telephone_number": "505-883-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 MONTGOMERY BLVD NE",
            "address_2": "SUITE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091106",
            "telephone_number": "505-883-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTACT LENS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "505-883-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.