Organization Active NPI

Terry T Marquardt

  • Eyewear Supplier
  • Alamogordo, NM
National Provider Identifier
1538343355
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
233 Issued in NM
Legal business name
TERRY T MARQUARDT
Practice address
903 New York Ave
Alamogordo, NM 88310-6919
Phone
(575) 437-7783
Fax
(575) 439-0615
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Terry Tyrone Marquardt, OD
Title
Owner
Phone
(575) 437-7783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 233 NM Primary

Addresses

Primary practice location

903 New York Ave
Alamogordo, NM 88310-6919

Mailing address

903 New York Ave
Alamogordo, NM 88310-6919
Phone (575) 437-7783

Other names 1

  • Dr. Terry T Marquardt Other name

National Provider Directory

National Provider Directory

Locations

903 New York Ave
Alamogordo, NM 88310
Phone (505) 437-7783

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1538343355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 NEW YORK AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106919",
            "telephone_number": "575-437-7783",
            "fax_number": "575-439-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 NEW YORK AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106919",
            "telephone_number": "575-437-7783",
            "fax_number": "575-439-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY T MARQUARDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "MARQUARDT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-437-7783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NM",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Terry T Marquardt",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.