Eye Associates of New Mexico, LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EYE ASSOCIATES OF NEW MEXICO, LTD.

Doing business as

Eye Associates of New Mexico

Practice address

412 Paseo de Onate
Suite #2
Espanola, NM 87532-3486

Phone

(505) 753-7868

Fax

(505) 753-6459

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Carole Jean Wright, CAO

Title

Chief Administrative Officer

Phone

(505) 768-1335

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Eye Associates of New Mexico Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Albuquerque Ambulatory Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1205878758

  Member Of

  NPD member
• Eye Surgery Centers of New Mexico, LLC

  dba Surgery Center of Santa Fe

  • Ambulatory Surgical Clinic/Center
  • Santa Fe, NM
  • NPI 1255373676

  Member Of

  NPD member

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1497892376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE",
            "address_2": "SUITE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131533",
            "telephone_number": "505-246-2622",
            "fax_number": "505-213-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PASEO DE ONATE",
            "address_2": "SUITE #2",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323486",
            "telephone_number": "505-753-7868",
            "fax_number": "505-753-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF NEW MEXICO, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CAROLE JEAN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "505-768-1335",
        "authorized_official_credential": "CAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K5006",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE (RRB)",
            "identifier": "CH4370",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE (RRB)",
            "identifier": "CN6728",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47951",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of New Mexico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Espanola Valley High School
• Espanola Valley Nursing Operations LLC
• Espanola Valley Womens Health (Espanola Midwifery Service)
• Rhonda L. Evenhus, MA,CCC-SLP
• Emily J Everhart
• Eye Care for You
• Eye Care Surgery
• Familia Dental Esp LLC (Familia Dental)
• Wayne Favreau, LPCC
• Glenn Eugene Ferguson, PHD

• Durable Medical Equipment & Medical Supplies in Espanola, NM
• Providers in Espanola, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.