Organization Active NPI

Westside Eyecare

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1528443496
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WESTSIDE EYECARE
Practice address
5101 Coors Blvd N.W
Ste E
Albuquerque, NM 87120-1923
Phone
(505) 899-7473
Fax
(505) 899-4845
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Bruce P. Rael, O.D.
Title
Partner
Phone
(505) 899-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NM Primary

Addresses

Primary practice location

5101 Coors Blvd N.W
Ste E
Albuquerque, NM 87120-1923

Mailing address

5101 Coors Blvd N.W.
Ste E
Albuquerque, NM 87120-1923
Phone (505) 899-7473

National Provider Directory

National Provider Directory

Locations

5101 Coors Blvd NW
Ste E
Albuquerque, NM 87120
Phone (505) 899-7473

Practitioners & affiliated clinicians

Practitioners 1

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": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1528443496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COORS BLVD N.W.",
            "address_2": "STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201923",
            "telephone_number": "505-899-7473",
            "fax_number": "505-899-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 COORS BLVD N.W",
            "address_2": "STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201923",
            "telephone_number": "505-899-7473",
            "fax_number": "505-899-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "RAEL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-899-7473",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "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 Jul 21, 2015; 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.