Active NPI
Jon Q Montoya, O.D.
- Optometrist
- Albuquerque, NM
National Provider Identifier
1508872573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 492
- Practice address
- 3701 Eubank Blvd NE
Albuquerque, NM 87111-3536 - Phone
- (505) 298-2020
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 492 | NM | Primary |
Addresses
Primary practice location
3701 Eubank Blvd NE
Albuquerque, NM 87111-3536
Mailing address
1401 Aztec Rd NW
Albuquerque, NM 87107-2715
Phone (505) 345-0053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1508872573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 AZTEC RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871072715",
"telephone_number": "505-345-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 EUBANK BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113536",
"telephone_number": "505-298-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "JON",
"middle_name": "Q",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "492",
"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 Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.